OrganizationActive
1957 Bronx Medical P.C.
NPI 1396008801 · Specialist · Rego Park, NY
1957 Bronx Medical P.C. is a Specialist organization in Rego Park, NY (NPI 1396008801).
Provider details
- NPI number
- 1396008801
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Ilya Smuglin, Director(917) 842-2854
- License
- 221943 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9924 64th Ave
Rego Park, NY 11374-2645
Phone: (917) 842-2854
Street-level locationGet directions
Mailing address
9924 64th Ave
Rego Park, NY 11374-2645
Registry dates
- Enumerated
- 2012-06-19
- Last updated
- 2012-06-19
Frequently asked questions
- What is 1957 Bronx Medical P.C.'s NPI number?
- 1957 Bronx Medical P.C.'s National Provider Identifier (NPI) is 1396008801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1957 Bronx Medical P.C.?
- 1957 Bronx Medical P.C. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is 1957 Bronx Medical P.C. located?
- 1957 Bronx Medical P.C.'s practice location on file with NPPES is 9924 64th Ave, Rego Park, NY 11374-2645.
- What is 1957 Bronx Medical P.C.'s phone number?
- The practice phone number listed in the NPPES registry for 1957 Bronx Medical P.C. is (917) 842-2854.
- Who is the authorized official for 1957 Bronx Medical P.C.?
- The authorized official listed on 1957 Bronx Medical P.C.'s NPPES record is Ilya Smuglin, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1957 Bronx Medical P.C.'s NPI active?
- Yes — 1957 Bronx Medical P.C.'s NPI (1396008801) is active in the NPPES registry as of the last update on 2012-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.