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

Patient Centered Medical Service PC

Organization Family Medicine Physician · NPI 1174322580

Patient Centered Medical Service PC is a Family Medicine Physician in Bayside, New York. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

21304 Northern Blvd
Bayside, NY 11361-3344
Phone: (929) 744-1197
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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
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1174322580
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPatient Centered Medical Service PC
Authorized official Jasmin Dent — Owner · (212) 729-3128
NPI enumeratedMarch 10, 2025
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address21304 Northern Blvd, Bayside, NY 11361-3344

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