Pro Active Health Care PC Medical
NPI 1366690307 · Clinic/Center · New Hyde Park, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pro Active Health Care PC Medical is a Clinic/Center organization in New Hyde Park, NY (NPI 1366690307).
Provider details
- NPI number
- 1366690307
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jocelyn Cervantes, President(516) 502-2308
- License
- 182681 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pro Active Health Care Internal Medicine PC
Registry dates
- Enumerated
- 2008-09-03
- Last updated
- 2010-07-15
Frequently asked questions
- What is Pro Active Health Care PC Medical's NPI number?
- Pro Active Health Care PC Medical's National Provider Identifier (NPI) is 1366690307, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pro Active Health Care PC Medical?
- Pro Active Health Care PC Medical is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pro Active Health Care PC Medical located?
- Pro Active Health Care PC Medical's practice location on file with NPPES is 2001 Marcus Ave, New Hyde Park, NY 11042-1011.
- What is Pro Active Health Care PC Medical's phone number?
- The practice phone number listed in the NPPES registry for Pro Active Health Care PC Medical is (516) 502-2308.
- Does Pro Active Health Care PC Medical accept Medicare?
- Pro Active Health Care PC Medical is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pro Active Health Care PC Medical?
- The authorized official listed on Pro Active Health Care PC Medical's NPPES record is Jocelyn Cervantes, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pro Active Health Care PC Medical's NPI active?
- Yes — Pro Active Health Care PC Medical's NPI (1366690307) is active in the NPPES registry as of the last update on 2010-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.