Concerto Pennsylvania LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

CONCERTO PENNSYLVANIA LLC

Practice address

8200 Flourtown Ave Ste 3
Wyndmoor, PA 19038-7969

Phone

(847) 233-1200

Fax

(847) 443-1328

NPI assigned

Nov 27, 2020

Last updated

Feb 11, 2021By 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

Mr. Shimon Meystel

Title

Chief Executive Officer and Manager

Phone

(847) 443-1228

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Concerto Wyndmoor PennsylvaniaCCN 732504

Ownership

Profit

Certified

Apr 28, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Affiliated clinicians 7

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

• Yoon J Ahn, MD

  • Nephrology Physician
  • Phila, PA
  • NPI 1396782892

  Dialysis facility

  Care Compare affiliation Name & address match
• George Ezeji, M.D

  • Nephrology Physician
  • Camp Hill, PA
  • NPI 1073908695

  Dialysis facility

  Care Compare affiliation Name & address match
• Saifullah Nizamuddin Kazi, M.D

  • Nephrology Physician
  • Pottstown, PA
  • NPI 1609164326

  Dialysis facility

  Care Compare affiliation Name & address match
• Michael Raymond Lattanzio, D.O.

  • Nephrology Physician
  • Whitehall, PA
  • NPI 1588844849

  Dialysis facility

  Care Compare affiliation Name & address match
• William F. McElhaugh, D.O.

  • Nephrology Physician
  • Philadelphia, PA
  • NPI 1427031079

  Dialysis facility

  Care Compare affiliation Name & address match
• Devin McKelvey, D.O.

  • Nephrology Physician
  • Philadelphia, PA
  • NPI 1104288638

  Dialysis facility

  Care Compare affiliation Name & address match
• Eric D Newman, DO

  • Nephrology Physician
  • Phila, PA
  • NPI 1396786885

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1689278996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 W TOUHY AVE STE 100",
            "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": "8200 FLOURTOWN AVE STE 3",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387969",
            "telephone_number": "847-233-1200",
            "fax_number": "847-443-1328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 W Touhy Ave Ste 100",
            "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 PENNSYLVANIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-27",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER AND MANAGER",
        "authorized_official_telephone_number": "847-443-1228",
        "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": []
}

• Chestnut Hill Rehab Hospital, LLC (Montgomery Rehab Hospital of Chestnut Hill)
• CHHS Rehab Company, LLC (Chestnut Hill Rehabilitation Hospital)
• Emily Clark, LMFT
• Leeann Clark, PT
• George Coldren III, RN
• Ramesh Conley, PHD
• Maura Coulter, CRNP
• Margaret M Currie, CRNP
• Andrea Mayer Decasere
• Holly C. Dender, OTR/L

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wyndmoor, PA
• Providers in Wyndmoor, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.