Grand Concourse Health Wellness Medical, PC
NPI 1811241631 · Internal Medicine Physician · Bronx, NY
Grand Concourse Health Wellness Medical, PC is a Internal Medicine Physician organization in Bronx, NY (NPI 1811241631).
Provider details
- NPI number
- 1811241631
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dmitry Ilyevsky, President(718) 220-0439
- License
- 260048 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2012-10-31
- Last updated
- 2012-10-31
Frequently asked questions
- What is Grand Concourse Health Wellness Medical, PC's NPI number?
- Grand Concourse Health Wellness Medical, PC's National Provider Identifier (NPI) is 1811241631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Concourse Health Wellness Medical, PC?
- Grand Concourse Health Wellness Medical, PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Grand Concourse Health Wellness Medical, PC located?
- Grand Concourse Health Wellness Medical, PC's practice location on file with NPPES is 2336 Grand Concourse, Bronx, NY 10458-6903.
- What is Grand Concourse Health Wellness Medical, PC's phone number?
- The practice phone number listed in the NPPES registry for Grand Concourse Health Wellness Medical, PC is (718) 220-0439.
- Who is the authorized official for Grand Concourse Health Wellness Medical, PC?
- The authorized official listed on Grand Concourse Health Wellness Medical, PC's NPPES record is Dmitry Ilyevsky, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Concourse Health Wellness Medical, PC's NPI active?
- Yes — Grand Concourse Health Wellness Medical, PC's NPI (1811241631) is active in the NPPES registry as of the last update on 2012-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.