QUEENS MEDICAL SERVICES, P.C
NPI 1164630448
Internal Medicine in Jackson Heights, NY

Active since May 18, 2007CLIA Certified · 2 labs
3703 92ND ST, JACKSON HEIGHTS, NY 11372(718) 505-1300(718) 505-1883 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Queens Medical Services, P.c NPPES

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

QUEENS MEDICAL SERVICES, P.C (NPI 1164630448), doing business as Queens Medical Center, is a healthcare organization registered as an internal medicine in Jackson Heights, New York and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists David Guha, President, as its authorized official.

NPPES Registry Identity

NPI1164630448
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameQUEENS MEDICAL SERVICES, P.C
Location Address3703 92ND STJackson Heights, NY 11372-7929
Mailing Address3703 92nd StJackson Heights, NY 11372-7929 · (718) 505-1300 · Fax (718) 505-1883
Fax(718) 505-1883
Organization SubpartNo
Authorized OfficialDavid GuhaPresident · (718) 505-1300
Enumeration DateMay 18, 2007
Last NPPES UpdateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
✔ NPI 1164630448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 217513✔ Licensed in NY · 199134
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 202437 (NY)
3703 92ND ST, Jackson Heights, NY 11372

Other Names 1

Doing Business AsQueens Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Queens Medical Services, P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Queens Medical Services, P.C, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1811073802
4142 ELBERTSON ST SUITE102
Elmhurst, NY 11373
(718) 505-1300
✔ PECOS✔ Accepts Medicare0.3 mi
Internal Medicine
NPI 1760567960
13172 40TH RD
Flushing, NY 11354
(718) 587-1111
✔ PECOS✔ Accepts Medicare2.2 mi
Physical Medicine and Rehabilitation
NPI 1720162811
1957 CONEY ISLAND AVE.
Brooklyn, NY 11223
(347) 407-4073
✔ PECOS✔ Accepts Medicare11 mi

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0983370

Queens Medical Services PC · Elmhurst, NY
Active · expires Jan 25, 2027
CLIA Number33D0983370
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorDr. Ruma Sanyal
Laboratory Phone(718) 505-1300
Laboratory LocationQueens Medical Services PC87-35 Briton Avenue, Elmhurst, NY 11373
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2327658

Queens Medical PC · Jackson Heights, NY
Active · expires Jul 27, 2027
CLIA Number33D2327658
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorAlvaro A. Olayo
Laboratory Phone(212) 365-4989
Laboratory LocationQueens Medical PC7514 37th Avenue Suite A, Jackson Heights, NY 11372
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Queens Medical Services, P.C's NPI number?

The NPI number for Queens Medical Services, P.C is 1164630448. It was assigned to this organization in the NPPES registry on May 18, 2007. The provider is doing business as Queens Medical Center.

Where is Queens Medical Services, P.C located?

Queens Medical Services, P.C is located at 3703 92nd St, Jackson Heights, NY 11372. The listed phone number is (718) 505-1300.

What is Queens Medical Services, P.C's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Queens Medical Services, P.C enrolled in Medicare?

Yes. Queens Medical Services, P.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Queens Medical Services, P.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Queens Medical Services, P.C, in Internal Medicine and Physical Medicine and Rehabilitation. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Queens Medical Services, P.C hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Queens Medical Services, P.C was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.