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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GRAND CONCOURSE MEDICAL PRACTICE, P.C.
NPI 1265744197
Internal Medicine in Bronx, NY

Active since July 08, 2010
1831 GRAND CONCOURSE FRNT A, BRONX, NY 10453(646) 640-6246 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 20, 2026, Oct 21, 2016 (2 updates tracked since 2016).

About Grand Concourse Medical Practice, P.c. NPPES

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

GRAND CONCOURSE MEDICAL PRACTICE, P.C. (NPI 1265744197) is a healthcare organization registered as an internal medicine in Bronx, New York and active in the NPI registry since July 2010. The organization lists Manuel Eligio Mejia, Owner, as its authorized official.

NPPES Registry Identity

NPI1265744197
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGRAND CONCOURSE MEDICAL PRACTICE, P.C.
Location Address1831 GRAND CONCOURSE FRNT ABronx, NY 10453-6324
Mailing Address1831 Grand Concourse Frnt ABronx, NY 10453-6324 · (646) 640-6246
Phone(646) 640-6246
Organization SubpartNo
Authorized OfficialManuel Eligio MejiaOwner · (347) 577-5804
Enumeration DateJuly 8, 2010
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1265744197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 241121
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1831 GRAND CONCOURSE FRNT A, Bronx, NY 10453
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2011030

Grand Concourse Medical Practice · Bronx, NY
Expired · Aug 9, 2026
CLIA Number33D2011030
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorDr. Manuel E. Mejia
Laboratory Phone(347) 577-5804
Laboratory LocationGrand Concourse Medical Practice1831 Grand Concourse Suite A, Bronx, NY 10453
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MANUEL ELIGIO MEJIA MD
Internal Medicine
1831 GRAND CONCOURSE FRNT A
BRONX, NY 10453
Bronx County (347) 577-5704

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 Grand Concourse Medical Practice, P.C.'s NPI number?

The NPI number for Grand Concourse Medical Practice, P.C. is 1265744197. It was assigned to this organization in the NPPES registry on July 8, 2010.

Where is Grand Concourse Medical Practice, P.C. located?

Grand Concourse Medical Practice, P.C. is located at 1831 Grand Concourse Frnt A, Bronx, NY 10453. The listed phone number is (646) 640-6246.

What is Grand Concourse Medical Practice, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Grand Concourse Medical Practice, P.C. was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.