Concorde Medical Group PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

006186 Issued in NY

Legal business name

CONCORDE MEDICAL GROUP PLLC

Practice address

135 E 37TH St
New York, NY 10016-3083

Phone

(212) 683-8107

NPI assigned

Oct 7, 2015

Last updated

Dec 11, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

CONCORDE MEDICAL GROUP PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Paula Marchetta, MD

Title

Ceo/Managing Partner

Phone

(212) 614-0039

Specialties & licenses 1

Addresses

Part of

Concorde Medical Group

Locations

Practitioners 1

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.

• Arthur Lebowitz, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1437173739
  NPD (past)

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1659741387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E 30TH ST",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168366",
            "telephone_number": "212-614-0039",
            "fax_number": "212-253-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E 37TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163083",
            "telephone_number": "212-683-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDE MEDICAL GROUP PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCORDE MEDICAL GROUP PLLC",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "MARCHETTA",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CEO/MANAGING PARTNER",
        "authorized_official_telephone_number": "212-614-0039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "006186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.