Concourse Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

199747 Issued in NY

Legal business name

CONCOURSE PEDIATRICS

Practice address

1001 Grand Concourse Apt 1E
Bronx, NY 10452-9122

Phone

(718) 293-3566

Fax

(718) 293-3547

NPI assigned

Apr 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Juan J Pilarte, M.D.NPI 1457441487

Title

President

Phone

(718) 293-3566

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Jose Pilarte, M.D.

  • Pediatric Adolescent Medicine Physician
  • Bronx, NY
  • NPI 1457441487
  NPD (past) Authorized official

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1699200154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 GRAND CONCOURSE APT 1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104529122",
            "telephone_number": "718-293-3566",
            "fax_number": "718-293-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GRAND CONCOURSE APT 1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104529122",
            "telephone_number": "718-293-3566",
            "fax_number": "718-293-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCOURSE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "PILARTE",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-293-3566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "199747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01596501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concourse Chiropractic PLLC
• Concourse Diagnostic Inc
• Concourse Drugs Inc.
• Concourse Medical Center Inc
• Concourse Medical Office P C
• Concourse Pharmacy Inc.
• Concourse Plaza Dental Associates PC
• Concourse Plaza Family Dental LLC
• Concourse Rehab & Nursing Ctr Inc.
• Concourse Replacement LLC

• Primary Care Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.