Concerned Medical Care, P. C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

242289 Issued in NY

Legal business name

CONCERNED MEDICAL CARE, P. C.

Practice address

150 55TH St
Brooklyn, NY 11220-2559

Phone

(718) 473-7334

Fax

(718) 265-5837

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Miss Tatyana Polovenko, M.D.

Title

President

Phone

(718) 473-7334

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992866644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 STILLWELL AVE",
            "address_2": "3-C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232414",
            "telephone_number": "718-473-7334",
            "fax_number": "718-265-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202559",
            "telephone_number": "718-473-7334",
            "fax_number": "718-265-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERNED MEDICAL CARE, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLOVENKO",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-473-7334",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "242289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02654593",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John King Concepcion
• Jose Q Concepcion, MD
• Jose Robert Concepcion, M.D.
• Melissa Concepcion
• Yesenia Concepcion
• George Nicholas Concert, OTR/L
• Concetta a. Butera, DC, PC
• Concilium Medical, P.C.
• Concord Direct, Inc.
• Concord Family Services, Inc.

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.