Patient Centered Medical Service PC
NPI 1174322580ActiveOrganization· Family Medicine· Bayside, NY
Family Medicine in Bayside, New York, registered in NPPES in March 2025, part of Patient Centered Medical Service PC. The authorized official on file is Jasmin Dent, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174322580 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Patient Centered Medical Service PC |
| NPI issued | Mar 10, 2025 |
| Last updated in NPPES | Mar 10, 2025 |
| Certified by provider | Mar 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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