# JIMMY HE MEDICAL PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619213600
- **Authorized official:** DR. JINGHUA HE MD (PRESIDENT)
- **Authorized official phone:** (917) 256-9520

## Contact information

- **Practice address:** 3712 PRINCE ST STE 7D, FLUSHING, NY 11354-4651
- **Practice address phone:** (718) 886-8826
- **Practice address fax:** (718) 886-8726
- **Mailing address:** 21620 28TH AVE BAY BAYSIDE, BAYSIDE, NY 11360-2618
- **Mailing address phone:** (917) 256-9520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | 264102 | NY | Yes |

## Other

- **Enumeration date:** 12/18/2012
- **Last updated:** 11/04/2022