Organization Active NPI

Queens Medical Services, P.C

Doing business as Queens Medical Center

  • Internal Medicine Physician
  • Jackson Heights, NY
National Provider Identifier
1164630448
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
217513 Issued in NY
Legal business name
QUEENS MEDICAL SERVICES, P.C
Doing business as
Queens Medical Center
Practice address
3703 92ND St
Jackson Heights, NY 11372-7929
Phone
(718) 505-1300
Fax
(718) 505-1883
NPI assigned
May 18, 2007
Last updated
Sep 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Dr. David Guha, M.D.NPI 1811073802
Title
President
Phone
(718) 505-1300

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 199134 NY
Internal Medicine Physician 207R00000X 217513 NY Primary
Physical Medicine & Rehabilitation Physician 208100000X 202437 NY

Addresses

Primary practice location

3703 92ND St
Jackson Heights, NY 11372-7929

Mailing address

3703 92ND St
Jackson Heights, NY 11372-7929
Phone (718) 505-1300

Other names 1

  • QUEENS MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111007000217 NY Part B Supplier - Clinic/Group Practice 3870765290 Receives reassigned benefits from 3 practitioners
Practice locations: Elmhurst, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1164630448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 92ND ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727929",
            "telephone_number": "718-505-1300",
            "fax_number": "718-505-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 92ND ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727929",
            "telephone_number": "718-505-1300",
            "fax_number": "718-505-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS MEDICAL SERVICES, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "GUHA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-505-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "199134",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217513",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "202437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUEENS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "QUEENS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.