Individual provider Active NPI

Elizabeth Concepcion, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1255307344
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
160874 Issued in NY
Practice address
3525 Baychester Ave
Bronx, NY 10466-5001
Phone
(718) 798-8900
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 160874 NY Primary

Addresses

Primary practice location

3525 Baychester Ave
Bronx, NY 10466-5001

Mailing address

3525 Baychester Ave
Bronx, NY 10466-5001
Phone (718) 798-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101001149 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4789646720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
160874NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of the Future Medgroup PLLC Internal Medicine CurrentSince Dec 15, 2015 Accepting new patients
City Heart Vascular PLLC Internal Medicine PastSince Jan 9, 2016 Accepting new patients
Metropolis Medical PC Past Accepting new patients
Forest Hills Dermatology Group PLLC PastSince Sep 1, 2012 Accepting new patients
North Shore-Lij Medical PC Internal Medicine Past Accepting new patients
Harlem Center for Nursing and Rehabilitation LLC Past Accepting new patients

Locations

2910 Exterior St
Fl 1
Bronx, NY 10463
Phone (212) 567-4918

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1255307344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665001",
            "telephone_number": "718-798-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665001",
            "telephone_number": "718-798-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "160874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.