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CEDI MEDICAL OFFICE PLLC
NPI 1992310411
Family Medicine in Bronx, NY

Active since September 11, 2020CLIA 33D2212414 · Waiver
2940 GRAND CONCOURSE UNIT 1A-1B, BRONX, NY 10458(718) 220-0900(718) 733-6773 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2021, Sep 11, 2020 (2 updates tracked since 2020).

About Cedi Medical Office Pllc NPPES

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

CEDI MEDICAL OFFICE PLLC (NPI 1992310411) is a healthcare organization registered as a family medicine in Bronx, New York and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Kwabena Boakye, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1992310411
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCEDI MEDICAL OFFICE PLLC
Location Address2940 GRAND CONCOURSE UNIT 1A-1BBronx, NY 10458-2611
Mailing Address2940 Grand Concourse Unit 1a-1bBronx, NY 10458-2611 · (718) 220-0900 · Fax (718) 733-6773
Phone(718) 220-0900
Fax(718) 733-6773
Organization SubpartNo
Authorized OfficialKwabena BoakyeMedical Director · (718) 220-0900
Enumeration DateSeptember 11, 2020
Last NPPES UpdateApril 30, 20212 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
✔ NPI 1992310411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
2940 GRAND CONCOURSE UNIT 1A-1B, Bronx, NY 10458
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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 33D2212414

Cedi Medical Office, PLLC · Bronx, NY
Active · expires Feb 3, 2027
CLIA Number33D2212414
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorKwabena Boakye
Laboratory Phone(718) 220-0900
Laboratory LocationCedi Medical Office, PLLC2940 Grand Concourse, Unit 1a-B, 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.

MENSAH HEALTH FOUNDATON CORP
Clinic/Center (Community Health)
2940 GRAND CONCOURSE UNIT 1A-1B
BRONX, NY 10458
Bronx County (914) 525-7179
KWABENA BOAKYE MD
Family Medicine
2940 GRAND CONCOURSE UNIT 1A-1B
BRONX, NY 10458
Bronx County (718) 220-0900

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 Cedi Medical Office PLLC's NPI number?

The NPI number for Cedi Medical Office PLLC is 1992310411. It was assigned to this organization in the NPPES registry on September 11, 2020.

Where is Cedi Medical Office PLLC located?

Cedi Medical Office PLLC is located at 2940 Grand Concourse Unit 1a-1b, Bronx, NY 10458. The listed phone number is (718) 220-0900.

What is Cedi Medical Office PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Cedi Medical Office PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2212414) is associated with this NPI, valid through February 3, 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 Cedi Medical Office PLLC was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.