Organization Active NPI

Concerto New Jersey LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Englewood Cliffs, NJ
National Provider Identifier
1275284572
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
CONCERTO NEW JERSEY LLC
Practice address
600 E Palisade Ave Ste 5
Englewood Cliffs, NJ 07632-1826
Phone
(847) 443-1228
Fax
(847) 443-1328
NPI assigned
Jan 18, 2022
Last updated
Dec 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Mr. Shimon Meystel
Title
Chief Executive Officer
Phone
(847) 233-1202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

600 E Palisade Ave Ste 5
Englewood Cliffs, NJ 07632-1826

Mailing address

4600 W Touhy Ave
Lincolnwood, IL 60712-1606
Phone (847) 443-1228

Other practice location 1

4600 W Touhy Ave
Lincolnwood, IL 60712-1606
Phone (847) 443-1228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230918002918 NJ Part A Provider - End-Stage Renal Disease Facility (ESRD) 1355705781 Practice locations: Englewood Cliffs, NJ

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Concerto New Jersey LLCCCN 312722
Ownership
Profit
Certified
Apr 11, 2025
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Other
Dialysis stations
1

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory

Locations

600 E Palisade Ave
Ste 5
Englewood Cliffs, NJ 07632
Phone (201) 567-1087

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1275284572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 W TOUHY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121606",
            "telephone_number": "847-443-1228",
            "fax_number": "847-443-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E PALISADE AVE STE 5",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321826",
            "telephone_number": "847-443-1228",
            "fax_number": "847-443-1328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 W Touhy Ave",
            "address_purpose": "LOCATION",
            "city": "Lincolnwood",
            "state": "IL",
            "postal_code": "607121606",
            "country_code": "US",
            "telephone_number": "847-443-1228",
            "fax_number": "847-443-1328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONCERTO NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "847-233-1202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.