Concourse Chiropractic PLLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

X0046381 Issued in NY

Legal business name

CONCOURSE CHIROPRACTIC PLLC

Practice address

2676 Grand Concourse
Suite a
Bronx, NY 10458-4914

Phone

(718) 733-1000

NPI assigned

Oct 4, 2011

Last updated

Oct 4, 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

Mrs. Zora Bedasie, D.C.

Title

Office Manager

Phone

(718) 733-1000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PLLC Other name

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1851675268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2676 GRAND CONCOURSE",
            "address_2": "SUITE A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584914",
            "telephone_number": "718-733-1000",
            "fax_number": "718-733-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2676 GRAND CONCOURSE",
            "address_2": "SUITE A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584914",
            "telephone_number": "718-733-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCOURSE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "BEDASIE",
        "authorized_official_first_name": "ZORA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-733-1000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "X0046381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "11",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "111N00000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Concept Home Care Inc (Golden Apple Home Care)
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• Concord Pharmacy LLC
• Concordia Pharma Inc (Concordia Pharmacy)
• Concourse Cardiology Associates, P.C.
• Concourse Diagnostic Inc
• Concourse Drugs Inc. (Friendly Pharmacy)
• Concourse Medical Center Inc
• Concourse Medical Office P C
• Concourse Pediatrics

• Health Maintenance Organization in Bronx, NY
• Providers in Bronx, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.