Concourse Replacement LLC
NPI 1740400431 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bronx, NY
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Concourse Replacement LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Bronx, NY (NPI 1740400431).
Provider details
- NPI number
- 1740400431
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dominic Licciardi, Administrator(718) 987-5942
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Grand Concourse Dialysis Facility
- Doing business as
- Grand Concourse Dialysis Facility
Additional practice locations (1)
- 1780 Grand ConcourseBronx, NY 10457-5500Phone: (718) 583-1800Fax: (718) 583-4160
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2026-03-01
- Certified
- 2026-03-01
Frequently asked questions
- What is Concourse Replacement LLC's NPI number?
- Concourse Replacement LLC's National Provider Identifier (NPI) is 1740400431, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Concourse Replacement LLC?
- Concourse Replacement LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Concourse Replacement LLC located?
- Concourse Replacement LLC's practice location on file with NPPES is 1490 Macombs Rd, Bronx, NY 10452-2101.
- What is Concourse Replacement LLC's phone number?
- The practice phone number listed in the NPPES registry for Concourse Replacement LLC is (718) 583-1800.
- Does Concourse Replacement LLC accept Medicare?
- Concourse Replacement LLC 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 Replacement LLC?
- The authorized official listed on Concourse Replacement LLC's NPPES record is Dominic Licciardi, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Concourse Replacement LLC's NPI active?
- Yes — Concourse Replacement LLC's NPI (1740400431) is active in the NPPES registry as of the last update on 2026-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.