Concourse Medical Office P C

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

CONCOURSE MEDICAL OFFICE P C

Practice address

2951 Grand Concourse
Suite 1-a
Bronx, NY 10468-1431

Phone

(718) 220-4380

NPI assigned

Jun 9, 2009

Last updated

Sep 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raji Mohammed Ayinla, M.D.NPI 1164464970

Title

President

Phone

(718) 220-4380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raji Mohammed Ayinla, M.D.

  • Pulmonary Disease Physician
  • Bronx, NY
  • NPI 1164464970
  Medicare reassignment NPD Authorized official
• Faith Oritsematosan Osime, M.D.

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1871760033
  Medicare reassignment NPD
• Julio Cesar Palma, M.D.

  • Internal Medicine Physician
  • Jackson Heights, NY
  • NPI 1134299902
  NPD (past)

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1568698132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 GRAND CONCOURSE",
            "address_2": "SUITE 1-A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681431",
            "telephone_number": "718-220-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 GRAND CONCOURSE",
            "address_2": "SUITE 1-A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681431",
            "telephone_number": "718-220-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCOURSE MEDICAL OFFICE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "AYINLA",
        "authorized_official_first_name": "RAJI",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-220-4380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concourse Cardiology Associates, P.C.
• Concourse Chiropractic PLLC
• Concourse Diagnostic Inc
• Concourse Drugs Inc. (Friendly Pharmacy)
• Concourse Medical Center Inc
• Concourse Pediatrics
• Concourse Pharmacy Inc.
• Concourse Plaza Dental Associates PC
• Concourse Plaza Family Dental LLC
• Concourse Rehab & Nursing Ctr Inc.

• Pulmonary Disease Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.