Concourse Village Primary Care PLLC
NPI 1093984981 · Specialist · Bronx, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Concourse Village Primary Care PLLC is a Specialist organization in Bronx, NY (NPI 1093984981).
Provider details
- NPI number
- 1093984981
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jean Macenat, President(718) 402-4021
- License
- 211364 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-25
- Last updated
- 2008-02-25
Frequently asked questions
- What is Concourse Village Primary Care PLLC's NPI number?
- Concourse Village Primary Care PLLC's National Provider Identifier (NPI) is 1093984981, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Concourse Village Primary Care PLLC?
- Concourse Village Primary Care PLLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Concourse Village Primary Care PLLC located?
- Concourse Village Primary Care PLLC's practice location on file with NPPES is 769 Concourse Vlg W, Bronx, NY 10451-3801.
- What is Concourse Village Primary Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Concourse Village Primary Care PLLC is (718) 402-4021.
- Does Concourse Village Primary Care PLLC accept Medicare?
- Concourse Village Primary Care PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Concourse Village Primary Care PLLC?
- The authorized official listed on Concourse Village Primary Care PLLC's NPPES record is Jean Macenat, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Concourse Village Primary Care PLLC's NPI active?
- Yes — Concourse Village Primary Care PLLC's NPI (1093984981) is active in the NPPES registry as of the last update on 2008-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.