1957 BRONX MEDICAL P.C.
NPI 1396008801
Specialist in Rego Park, NY

Active since June 19, 2012
9924 64TH AVE, REGO PARK, NY 11374(917) 842-2854 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 1957 Bronx Medical P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

1957 BRONX MEDICAL P.C. (NPI 1396008801) is a healthcare organization registered as a specialist in Rego Park, New York and active in the NPI registry since June 2012. The organization lists Ilya Smuglin, Director, as its authorized official.

NPPES Registry Identity

NPI1396008801
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business Name1957 BRONX MEDICAL P.C.
Location Address9924 64TH AVERego Park, NY 11374-2645
Mailing Address9924 64th AveRego Park, NY 11374-2645
Organization SubpartNo
Authorized OfficialIlya SmuglinDirector · (917) 842-2854
Enumeration DateJune 19, 2012
NPI 1396008801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 221943
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

9924 64TH AVE, Rego Park, NY 11374

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
9924 64TH AVE
REGO PARK, NY 11374

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1957 Bronx Medical P.C.'s NPI number?

The NPI number for 1957 Bronx Medical P.C. is 1396008801. It was assigned to this organization in the NPPES registry on June 19, 2012.

Where is 1957 Bronx Medical P.C. located?

1957 Bronx Medical P.C. is located at 9924 64th Ave, Rego Park, NY 11374. The listed phone number is (917) 842-2854.

What is 1957 Bronx Medical P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for 1957 Bronx Medical P.C. was last updated on June 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.