Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

21st Century Medical Plaza PC

Organization Family Medicine Physician · NPI 1760627582

21st Century Medical Plaza PC is a Family Medicine Physician in Rego Park, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8716 63rd Dr
Rego Park, NY 11374-4826
Phone: (917) 400-2530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 240556 (NY)

Record details

NPI number1760627582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Irina Benyaminova — President · (917) 400-2530
NPI enumeratedDecember 8, 2008
Last updated in NPPESDecember 8, 2008
Mailing address8716 63rd Dr, Rego Park, NY 11374-4826

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