Healthcare Provider Details

I. General information

NPI: 1184544686
Provider Name (Legal Business Name): CONCIERGE MANAGED CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 WEST 58TH ST 3RD FL
NEW YORK NY
10019
US

IV. Provider business mailing address

200 CONTINENTAL DR STE 401
NEWARK DE
19713-4337
US

V. Phone/Fax

Practice location:
  • Phone: 800-650-5907
  • Fax: 212-656-1294
Mailing address:
  • Phone: 800-650-5907
  • Fax: 212-656-1294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. BENEDICT NWACHUKWU
Title or Position: CEO
Credential: MD
Phone: 609-703-3900