GRAND CONCOURSE HEALTH WELLNESS MEDICAL, PC
NPI 1811241631
Internal Medicine in Bronx, NY

Active since October 31, 2012
2336 GRAND CONCOURSE, BRONX, NY 10458(718) 220-0439(718) 220-0489 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grand Concourse Health Wellness Medical, Pc NPPES

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

GRAND CONCOURSE HEALTH WELLNESS MEDICAL, PC (NPI 1811241631) is a healthcare organization registered as an internal medicine in Bronx, New York and active in the NPI registry since October 2012. The organization lists Dmitry Ilyevsky, President, as its authorized official.

NPPES Registry Identity

NPI1811241631
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGRAND CONCOURSE HEALTH WELLNESS MEDICAL, PC
Location Address2336 GRAND CONCOURSEBronx, NY 10458-6903
Mailing Address2336 Grand ConcourseBronx, NY 10458-6903 · (718) 220-0439 · Fax (718) 220-0489
Fax(718) 220-0489
Organization SubpartNo
Authorized OfficialDmitry IlyevskyPresident · (718) 220-0439
Enumeration DateOctober 31, 2012
NPI 1811241631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 260048
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.

Also ListedPediatricsTaxonomy 208000000X · License 260048 (NY)
2336 GRAND CONCOURSE, Bronx, NY 10458

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

Other Providers at the Same Location NPPES 13

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

Dentist
2336 GRAND CONCOURSE
BRONX, NY 10458
Dentist (General Practice)
2336 GRAND CONCOURSE
BRONX, NY 10458
Family Medicine
2336 GRAND CONCOURSE
BRONX, NY 10458
Family Medicine
2336 GRAND CONCOURSE
BRONX, NY 10458
Physician Assistant
2336 GRAND CONCOURSE
BRONX, NY 10458
Nurse Practitioner (Adult Health)
2336 GRAND CONCOURSE
BRONX, NY 10458
Nurse Practitioner (Family)
2336 GRAND CONCOURSE
BRONX, NY 10458
Nurse Practitioner (Adult Health)
2336 GRAND CONCOURSE
BRONX, NY 10458

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 Health Wellness Medical, PC's NPI number?

The NPI number for Grand Concourse Health Wellness Medical, PC is 1811241631. It was assigned to this organization in the NPPES registry on October 31, 2012.

Where is Grand Concourse Health Wellness Medical, PC located?

Grand Concourse Health Wellness Medical, PC is located at 2336 Grand Concourse, Bronx, NY 10458. The listed phone number is (718) 220-0439.

What is Grand Concourse Health Wellness Medical, PC'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 Health Wellness Medical, PC was last updated on October 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.