CONCOURSE MEDICAL OFFICE P C
NPI 1568698132
Internal Medicine - Pulmonary Disease in Bronx, NY

Active since June 09, 2009CLIA 33D1022925 · Waiver
2951 GRAND CONCOURSE, SUITE 1-A, BRONX, NY 10468(718) 220-4380 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Concourse Medical Office P C NPPES

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

CONCOURSE MEDICAL OFFICE P C (NPI 1568698132) is a healthcare organization registered as a pulmonary disease in Bronx, New York and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through August 2, 2027 and lists Raji Mohammed Ayinla, President, as its authorized official.

NPPES Registry Identity

NPI1568698132
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameCONCOURSE MEDICAL OFFICE P C
Location Address2951 GRAND CONCOURSE, SUITE 1-ABronx, NY 10468-1431
Mailing Address2951 Grand Concourse, Suite 1-aBronx, NY 10468-1431 · (718) 220-4380
Organization SubpartNo
Authorized OfficialRaji Mohammed AyinlaPresident · (718) 220-4380
Enumeration DateJune 9, 2009
Last NPPES UpdateSeptember 8, 2011
NPI 1568698132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
2951 GRAND CONCOURSE, Bronx, NY 10468

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

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 33D1022925

Concourse Medical Office PC · Bronx, NY
Active · expires Aug 2, 2027
CLIA Number33D1022925
Laboratory TypePhysician Office
Certificate Effective DateAugust 3, 2025
Certificate Expiration DateAugust 2, 2027
Laboratory DirectorDr. Raji M. Ayinla
Laboratory Phone(718) 220-4380
Laboratory LocationConcourse Medical Office PC3184 Grand Concourse, Suite 2E, Bronx, NY 10458
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 2

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

Dentist (General Practice)
2951 GRAND CONCOURSE, SUITE NUMBER 6
BRONX, NY 10468
Internal Medicine (Pulmonary Disease)
2951 GRAND CONCOURSE, SUITE1A
BRONX, NY 10468

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 Medical Office P C's NPI number?

The NPI number for Concourse Medical Office P C is 1568698132. It was assigned to this organization in the NPPES registry on June 9, 2009.

Where is Concourse Medical Office P C located?

Concourse Medical Office P C is located at 2951 Grand Concourse Suite 1-A, Bronx, NY 10468. The listed phone number is (718) 220-4380.

What is Concourse Medical Office P C's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Does Concourse Medical Office P C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1022925) is associated with this NPI, valid through August 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Concourse Medical Office P C was last updated on September 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.