PATIENT CENTERED MEDICAL SERVICE PC
NPI 1174322580
Family Medicine in Bayside, NY

Active since March 10, 2025
21304 NORTHERN BLVD, BAYSIDE, NY 11361(929) 744-1197 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Patient Centered Medical Service Pc NPPES

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

PATIENT CENTERED MEDICAL SERVICE PC (NPI 1174322580) is a healthcare organization registered as a family medicine in Bayside, New York and active in the NPI registry since March 2025. The organization lists Jasmin Dent, Owner, as its authorized official.

NPPES Registry Identity

NPI1174322580
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePATIENT CENTERED MEDICAL SERVICE PC
Location Address21304 NORTHERN BLVDBayside, NY 11361-3344
Mailing Address21304 Northern BlvdBayside, NY 11361-3344 · (929) 744-1197
Organization SubpartYes
Authorized OfficialJasmin DentOwner · (212) 729-3128
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
✔ NPI 1174322580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
21304 NORTHERN BLVD, Bayside, NY 11361

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)

Patient Centered Medical Service Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Patient Centered Medical Service PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1568831998
2035 120TH ST 2FL
College Point, NY 11356
(917) 518-0018
✔ PECOS4.3 mi
Emergency Medicine
NPI 1336584457
1400 PELHAM PKWY S BUILDING 6//SUITE B125
Bronx, NY 10461
(718) 918-5820
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1326688318
2015 GRAND CONCOURSE
Bronx, NY 10453
(718) 299-7295
✔ PECOS✔ Accepts Medicare9.5 mi
Family Practice
NPI 1790020345
1046 E 82ND ST APARTMENT 1
Brooklyn, NY 11236
(347) 673-8825
✔ 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.

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 Patient Centered Medical Service PC's NPI number?

The NPI number for Patient Centered Medical Service PC is 1174322580. It was assigned to this organization in the NPPES registry on March 10, 2025.

Where is Patient Centered Medical Service PC located?

Patient Centered Medical Service PC is located at 21304 Northern Blvd, Bayside, NY 11361. The listed phone number is (929) 744-1197.

What is Patient Centered Medical Service PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Patient Centered Medical Service PC enrolled in Medicare?

Yes. Patient Centered Medical Service PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patient Centered Medical Service PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Patient Centered Medical Service PC, in Emergency Medicine, Family Practice and Nurse Practitioner. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Patient Centered Medical Service PC was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.