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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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.

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

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

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330238
Location111 Clara Barton StreetDansville, NY 14437 · Livingston 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
Nurse Practitioner (Acute Care)
462 GRIDER ST
BUFFALO, NY 14215
Occupational Therapy Assistant
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.

Is Jay Im affiliated with any hospitals?

According to CMS data, Jay Im is affiliated with F F Thompson Hospital, Jones Memorial Hospital, Highland Hospital, Nicholas H Noyes Memorial 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.