Organization Active NPI

Panamerican Medical Services P.C.

  • Ph.D. Medical Genetics
  • Ozone Park, NY
National Provider Identifier
1528082971
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
227588 Issued in NY
Legal business name
PANAMERICAN MEDICAL SERVICES P.C.
Practice address
9511 99TH Ave
Ozone Park, NY 11416-2515
Phone
(718) 385-9180
Fax
(718) 385-9477
NPI assigned
Jul 27, 2006
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, M.D.NPI 1649284431
Title
General Director
Phone
(718) 385-9180

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
Ph.D. Medical GeneticsGroup: 193200000X MULTI-SPECIALTY GROUP 170100000X 227588 NY Primary

Addresses

Primary practice location

9511 99TH Ave
Ozone Park, NY 11416-2515

Mailing address

8915 175TH St
Jamaica, NY 11432-5533
Phone (718) 385-9180

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061221000245 NY Part B Supplier - Clinic/Group Practice 8325048317 Receives reassigned benefits from 1 practitioner
Practice locations: Jamaica, NY

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 2

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": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1528082971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 175TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325533",
            "telephone_number": "718-385-9180",
            "fax_number": "718-385-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 99TH AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162515",
            "telephone_number": "718-385-9180",
            "fax_number": "718-385-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAMERICAN MEDICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "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": "GENERAL DIRECTOR",
        "authorized_official_telephone_number": "718-385-9180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NY",
            "license": "227588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, 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.
  • 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.