Organization Active NPI

Century Medical Services P.C.

  • Internal Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1558188375
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CENTURY MEDICAL SERVICES P.C.
Practice address
7064 Yellowstone Blvd Ste D1
Forest Hills, NY 11375-3564
Phone
(347) 783-1818
Fax
(833) 970-0974
NPI assigned
Sep 23, 2024
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Zain Iqbal Memon, DONPI 1679004154
Title
Owner/Provider
Phone
(646) 348-0255

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

7064 Yellowstone Blvd Ste D1
Forest Hills, NY 11375-3564

Mailing address

7064 Yellowstone Blvd Ste D1
Forest Hills, NY 11375-3564
Phone (347) 783-1818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250113000338 NY Part B Supplier - Clinic/Group Practice 5698203198 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Locations

7010 Austin St
Ste 101
Forest Hills, NY 11375
Phone (516) 652-8119

7064 Yellowstone Blvd
Ste D1
Forest Hills, NY 11375
Phone (347) 783-1818

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": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1558188375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7064 YELLOWSTONE BLVD STE D1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753564",
            "telephone_number": "347-783-1818",
            "fax_number": "833-970-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7064 YELLOWSTONE BLVD STE D1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753564",
            "telephone_number": "347-783-1818",
            "fax_number": "833-970-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY MEDICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "ZAIN",
        "authorized_official_middle_name": "IQBAL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "646-348-0255",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.