96th Street Junction Blvd Medical PC
NPI 1588157788 · Family Medicine Physician · Corona, NY
96th Street Junction Blvd Medical PC is a Family Medicine Physician organization in Corona, NY (NPI 1588157788).
Provider details
- NPI number
- 1588157788
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wilder Rucker, Owner(718) 606-1199
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Registry dates
- Enumerated
- 2018-06-12
- Last updated
- 2018-08-13
Frequently asked questions
- What is 96th Street Junction Blvd Medical PC's NPI number?
- 96th Street Junction Blvd Medical PC's National Provider Identifier (NPI) is 1588157788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 96th Street Junction Blvd Medical PC?
- 96th Street Junction Blvd Medical PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is 96th Street Junction Blvd Medical PC located?
- 96th Street Junction Blvd Medical PC's practice location on file with NPPES is 5548 96th St, Corona, NY 11368.
- What is 96th Street Junction Blvd Medical PC's phone number?
- The practice phone number listed in the NPPES registry for 96th Street Junction Blvd Medical PC is (718) 606-1199.
- Who is the authorized official for 96th Street Junction Blvd Medical PC?
- The authorized official listed on 96th Street Junction Blvd Medical PC's NPPES record is Wilder Rucker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 96th Street Junction Blvd Medical PC's NPI active?
- Yes — 96th Street Junction Blvd Medical PC's NPI (1588157788) is active in the NPPES registry as of the last update on 2018-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.