Organization Active NPI

International Medical Services

  • Health Maintenance Organization
  • Jamaica, NY
National Provider Identifier
1073708574
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
227588 Issued in NY
Legal business name
INTERNATIONAL MEDICAL SERVICES
Practice address
8915 175TH St
Jamaica, NY 11432-5533
Phone
(718) 739-4848
Fax
(718) 739-2229
NPI assigned
Sep 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carlos Augusto Montenegro, MDNPI 1649284431
Title
Ceo
Phone
(718) 322-2688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 227588 NY Primary

Addresses

Primary practice location

8915 175TH St
Jamaica, NY 11432-5533

Mailing address

9511 99TH Ave
Ozone Park, NY 11416-2515
Phone (718) 322-2688

Other identifiers 1

IdentifierTypeStateIssuer
05807OtherNYMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
International Medical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1073708574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 99TH AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162515",
            "telephone_number": "718-322-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 175TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325533",
            "telephone_number": "718-739-4848",
            "fax_number": "718-739-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-08",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "MONTENEGRO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "AUGUSTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-322-2688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "227588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "05807",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.