Organization Active NPI

Queens Medical Services PLLC

  • Family Medicine Physician
  • Corona, NY
National Provider Identifier
1487745816
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
QUEENS MEDICAL SERVICES PLLC
Practice address
9606 Northern Blvd
Corona, NY 11368-1046
Phone
(718) 335-4747
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Smita Lodha, MDNPI 1356434310
Title
Manager
Phone
(718) 335-4747

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9606 Northern Blvd
Corona, NY 11368-1046

Mailing address

9606 Northern Blvd
Corona, NY 11368-1046
Phone (718) 335-4747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000377 NY Part B Supplier - Clinic/Group Practice 8820993488 Receives reassigned benefits from 2 practitioners
Practice locations: Corona, NY

National Provider Directory

National Provider Directory

Locations

9606 Northern Blvd
Corona, NY 11368
Phone (347) 738-5700

4572 Parsons Blvd
Flushing, NY 11355
Phone (718) 886-4848

3304 93rd St
Ste 1W
Jackson Heights, NY 11372
Phone (718) 335-4747

Practitioners & affiliated clinicians

Practitioners 12

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1487745816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9606 NORTHERN BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681046",
            "telephone_number": "718-335-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9606 NORTHERN BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681046",
            "telephone_number": "718-335-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "LODHA",
        "authorized_official_first_name": "SMITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-335-4747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.