JAY IM
NPI 1710506589
Student in an Organized Health Care Education/Training Program in Buffalo, NY

Active since April 13, 2020PECOS EnrolledAccepts Medicare Assignment
462 GRIDER ST, BUFFALO, NY 14215(716) 898-3627 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jay Im NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY IM (NPI 1710506589) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1710506589
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAY IM
Location Address462 GRIDER STBuffalo, NY 14215-3021
Mailing Address462 Grider StBuffalo, NY 14215-3021
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 13, 2020
NPPES CertifiedApril 13, 2020
✔ NPI 1710506589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
462 GRIDER ST, Buffalo, NY 14215

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jay Im is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820504350
PECOS Enrollment IDI20250722002629
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Jay Im reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
127 NORTH ST, SECOND FLOOR
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
Obstetrics & Gynecology
121 S MAIN ST
Warsaw, NY 14569
  • Reassigned Medicare billing, New York enrollment
  • 1,030 clinicians in this Medicare group
Clinical Medical Laboratory
160 ELMGROVE PARK
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Diagnostic Radiology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 26 clinicians in this Medicare group
Diagnostic Radiology
601 ELMWOOD AVE, BOX 648
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 198 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

Jones Memorial Hospital

Acute Care Hospitals · Wellsville, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330096
Location191 North Main StreetWellsville, NY 14895 · Allegany County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Pharmacy (Community/Retail Pharmacy)
462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215
Physician Assistant
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Occupational Therapy Assistant
462 GRIDER ST
BUFFALO, NY 14215
Nurse Practitioner (Adult Health)
462 GRIDER ST
BUFFALO, NY 14215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Im's NPI number?

The NPI number for Jay Im is 1710506589. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Jay Im located?

Jay Im practices at 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 898-3627.

What is Jay Im's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jay Im enrolled in Medicare?

Yes. Jay Im is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jay Im's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Im reassigns Medicare benefits to 6 organizations: United Memorial Medical Center (Batavia, NY), Western New York Medical Practice PC (Warsaw, NY), The Unity Hospital Of Rochester (Rochester, NY), Rochester General Hospital (Rochester, NY), Mammography Of The University Of Rochester (Rochester, NY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jay Im's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jay Im affiliated with any hospitals?

According to CMS data, Jay Im is affiliated with F F Thompson Hospital, Jones Memorial Hospital, Rochester General Hospital, Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jay Im was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.