OrganizationActive
Concourse Surgical Sport Supply, Inc.
NPI 1912910571 · Customized Equipment (DME) · New York, NY
Concourse Surgical Sport Supply, Inc. is a Customized Equipment (DME) organization in New York, NY (NPI 1912910571).
Provider details
- NPI number
- 1912910571
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Nidia Pena, Manager(212) 569-2635
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
5049 Broadway
New York, NY 10034-1131
Phone: (212) 569-2635
Fax: (212) 569-2639
Street-level locationGet directions
Mailing address
8 Edgewood Dr
Orangeburg, NY 10962-1604
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2020-10-05
- Certified
- 2020-10-05
Frequently asked questions
- What is Concourse Surgical Sport Supply, Inc.'s NPI number?
- Concourse Surgical Sport Supply, Inc.'s National Provider Identifier (NPI) is 1912910571, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Concourse Surgical Sport Supply, Inc.?
- Concourse Surgical Sport Supply, Inc. is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Concourse Surgical Sport Supply, Inc. located?
- Concourse Surgical Sport Supply, Inc.'s practice location on file with NPPES is 5049 Broadway, New York, NY 10034-1131.
- What is Concourse Surgical Sport Supply, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Concourse Surgical Sport Supply, Inc. is (212) 569-2635.
- Who is the authorized official for Concourse Surgical Sport Supply, Inc.?
- The authorized official listed on Concourse Surgical Sport Supply, Inc.'s NPPES record is Nidia Pena, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Concourse Surgical Sport Supply, Inc.'s NPI active?
- Yes — Concourse Surgical Sport Supply, Inc.'s NPI (1912910571) is active in the NPPES registry as of the last update on 2020-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.