Active NPI
Concourse Rehab & Nursing Ctr Inc.
- Skilled Nursing Facility
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 7000375N
- Legal business name
- CONCOURSE REHAB & NURSING CTR INC.
- Practice address
- 1072 Grand Concourse
Bronx, NY 10456-3901 - Phone
- (718) 681-4000
- Fax
- (718) 764-8860
- NPI assigned
- Jun 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Solomon Neiman, CPA
- Title
- Controller
- Phone
- (718) 681-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 7000375N | NY | Primary |
Addresses
Primary practice location
1072 Grand Concourse
Bronx, NY 10456-3901
Mailing address
1072 Grand Concourse
Bronx, NY 10456-3901
Phone (718) 681-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040727000289 | NY | Part A Provider - Skilled Nursing Facility | 7214830454 | Practice locations: Bronx, NY |
Skilled nursing facility certification: CCN 335493
- Legal name
- CONCOURSE REHAB & NURSING CTR INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1976
- Last certification
- Apr 12, 2024
- Beds
- 240
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 30, 1995 in NY
- Enrollment address
- 1072 Grand Concourse
Bronx, NY 10456-3901 - Nursing home name
- CONCOURSE REHABILITATION AND NURSING CENTER, INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Concourse Rehabilitation and Nursing Center, Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 1, 1976
- Medicare certification status
- Active
- Certified beds
- 240
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Gracon Associates LLC | 5% Or Greater Mortgage Interest | Apr 1, 1976 | 100% |
| Adp of the SNF | Apr 1, 1976 | ||
| Solomon Neiman | Corporate Officer | Jan 15, 2012 | |
| Corporate Director | Jan 15, 2012 | ||
| Adp of the SNF | Oct 1, 1995 | ||
| Dov Lebovic | Operational/Managerial Control | Aug 1, 2004 | |
| Adp of the SNF | Aug 1, 2004 | ||
| Marvin Neiman | 5% Or Greater Direct Ownership Interest | Oct 1, 1995 | 100% |
| Corporate Officer | Jan 27, 2004 | 100% | |
| Operational/Managerial Control | Oct 1, 1995 | ||
| Adp of the SNF | Oct 1, 1995 | ||
| Elena L Vezza | Operational/Managerial Control | Dec 1, 2019 | |
| Adp of the SNF | Dec 1, 2019 | ||
| Adp of the SNF | Jul 21, 2025 | ||
| Adp of the SNF | Jul 22, 2025 | ||
| Adp of the SNF | Jul 21, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Cardiovascular Disease Physician
- Bronxville, NY
- NPI 1033161021
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1891705844
-
- Cardiovascular Disease Physician
- Bronxville, NY
- NPI 1033161021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444262400000",
"number": "1467457002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1072 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104563901",
"telephone_number": "718-681-4000",
"fax_number": "718-764-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104563901",
"telephone_number": "718-681-4000",
"fax_number": "718-764-8860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCOURSE REHAB & NURSING CTR INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-20",
"last_updated": "2015-10-08",
"status": "A",
"authorized_official_last_name": "NEIMAN",
"authorized_official_first_name": "SOLOMON",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "718-681-4000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "7000375N",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.