CONCERTO PENNSYLVANIA LLC – NPI #1689278996
Clinic/Center

CONCERTO PENNSYLVANIA LLC is an AHC clinic located in WYNDMOOR, PA. NPPES has assigned the NPI number 1689278996 to CONCERTO PENNSYLVANIA LLC on November 27, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 5 years ago on Feb 11, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONCERTO PENNSYLVANIA LLC below.

NPI Profile for
CONCERTO PENNSYLVANIA LLC

NPI Number
1689278996
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CONCERTO PENNSYLVANIA LLC
Primary location
8200 FLOURTOWN AVE STE 3
WYNDMOOR, PA 19038-7969
Phone: (847) 233-1200 Fax: (847) 443-1328
1 Other location(s):
4600 W Touhy Ave Ste 100
Lincolnwood, IL 60712-1606
Phone: (847) 443-1228
Fax: (847) 443-1328
Mailing address
4600 W TOUHY AVE STE 100
LINCOLNWOOD, IL 60712-1606
Phone: (847) 443-1228 Fax: (847) 443-1328
Organization Subpart
No
Authorized Official
SHIMON MEYSTEL
CHIEF EXECUTIVE OFFICER AND MANAGER
Phone: (847) 443-1228
Updated
Certification Date
Feb 11, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.