Patient Centered Medical Service PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PATIENT CENTERED MEDICAL SERVICE PC

Practice address

21304 Northern Blvd
Bayside, NY 11361-3344

Phone

(929) 744-1197

NPI assigned

Mar 10, 2025

Organization subpart

Yes

Parent organization

PATIENT CENTERED MEDICAL SERVICE PCAs reported in NPPES

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

Authorized official

Name

Jasmin DentNPI 1326688318

Title

Owner

Phone

(212) 729-3128

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Part of

Patient Centered Medical Service PC

Locations

Practitioners 6

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

• Jasmin Dent, FNP

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1326688318
  NPD Authorized official
• Walter Reginald Rogers Sr., M.D.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1790020345
  Medicare reassignment
• Shuangshuang Weng, FNP

  • Family Nurse Practitioner
  • College Point, NY
  • NPI 1568831998
  NPD
• Yamany Araf, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1881424497
  NPD (past)
• Joannah Boh, FNP

  • Family Nurse Practitioner
  • New City, NY
  • NPI 1255114807
  NPD (past)
• Rowen Kirron Frederick, FNP

  • Family Nurse Practitioner
  • Bayside, NY
  • NPI 1184582132
  NPD (past)

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1174322580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21304 NORTHERN BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613344",
            "telephone_number": "929-744-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21304 NORTHERN BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613344",
            "telephone_number": "929-744-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CENTERED MEDICAL SERVICE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATIENT CENTERED MEDICAL SERVICE PC",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "DENT",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-729-3128"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mery N Parra Saldarriaga
• Dustin Passigli, PT
• Akash Patel
• Seema J Patel, M.D.
• Patient Bridge Health Medical Group, P.a.
• Maria Nidea Paul
• Melissa Paulino, LCSW
• Barbara Pavicevac-Ortiz, SLP
• Calina Lia Pavlovici, MD
• PCL Hearing Services of New York, LLC (Audionics)

• Family Medicine Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.