Organization Active NPI

Century Medical Care, PC

  • Legal Medicine (M.D./D.O.) Physician
  • Rego Park, NY
National Provider Identifier
1194005991
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal Medicine (M.D./D.O.) PhysicianTaxonomy code 209800000X
Legal business name
CENTURY MEDICAL CARE, PC
Practice address
9917 63 Road
Rego Park, NY 11374-1939
Phone
(718) 275-4848
Fax
(718) 676-2558
NPI assigned
Aug 24, 2011
Last updated
Aug 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Zachary RibotiNPI 1316093776
Title
President
Phone
(646) 258-7405

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
Legal Medicine (M.D./D.O.) Physician 209800000X NU Primary

Addresses

Primary practice location

9917 63 Road
Rego Park, NY 11374-1939

Mailing address

9841 64TH Rd
Apt 7G
Rego Park, NY 11374-3446
Phone (646) 258-7405

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111111000437 NY Part B Supplier - Clinic/Group Practice 3476727355 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Rego Park, 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": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1194005991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 64TH RD",
            "address_2": "APT 7G",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743446",
            "telephone_number": "646-258-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9917 63 ROAD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741939",
            "telephone_number": "718-275-4848",
            "fax_number": "718-676-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "RIBOTI",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-258-7405"
    },
    "taxonomies": [
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.