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CONCOURSE VILLAGE PRIMARY CARE PLLC
NPI 1093984981
Specialist in Bronx, NY

Active since February 25, 2008
769 CONCOURSE VLG W, BRONX, NY 10451(718) 402-4021(718) 402-4023 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Concourse Village Primary Care Pllc NPPES

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

CONCOURSE VILLAGE PRIMARY CARE PLLC (NPI 1093984981) is a healthcare organization registered as a specialist in Bronx, New York and active in the NPI registry since February 2008. The organization lists Jean R. Macenat, President, as its authorized official.

NPPES Registry Identity

NPI1093984981
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCONCOURSE VILLAGE PRIMARY CARE PLLC
Location Address769 CONCOURSE VLG WBronx, NY 10451-3801
Mailing Address769 Concourse Vlg WBronx, NY 10451-3801 · (718) 402-4021 · Fax (718) 402-4023
Phone(718) 402-4021
Fax(718) 402-4023
Organization SubpartNo
Authorized OfficialJean R. MacenatPresident · (718) 402-4021
Enumeration DateFebruary 25, 2008
✔ NPI 1093984981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 211364
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.
769 CONCOURSE VLG W, Bronx, NY 10451
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Other Identifiers 1

OtherJM0301AR0Blue Cross/shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. JEAN ROBERT MACENAT M.D
Internal Medicine
769 CONCOURSE VLG W
BRONX, NY 10451
Bronx County (718) 402-4021
MR. CHETAN NAGINLAL SHAH DDS
Dentist
769 CONCOURSE VLG W
BRONX, NY 10451
Bronx County (718) 665-1843

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 Concourse Village Primary Care PLLC's NPI number?

The NPI number for Concourse Village Primary Care PLLC is 1093984981. It was assigned to this organization in the NPPES registry on February 25, 2008.

Where is Concourse Village Primary Care PLLC located?

Concourse Village Primary Care PLLC is located at 769 Concourse Vlg W, Bronx, NY 10451. The listed phone number is (718) 402-4021.

What is Concourse Village Primary Care PLLC'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 Concourse Village Primary Care PLLC was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.