City Medical of Upper East Side PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CITY MEDICAL OF UPPER EAST SIDE PLLC

Practice address

1995 Nesconset Hwy
Lake Grove, NY 11755-1002

Phone

(631) 360-2273

NPI assigned

Jul 1, 2013

Organization subpart

Yes

Parent organization

CITY MEDICAL OF UPPER EAST SIDE PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Swahili Henry

Title

Director of Payment Solutions

Phone

(908) 988-0428

Specialties & licenses 1

Addresses

Other names 1

• CityMD Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

City Medical of Upper East Side PLLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • Bronx, NY
  • NPI 1407303613

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1295175503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050018",
            "telephone_number": "908-588-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 NESCONSET HWY",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551002",
            "telephone_number": "631-360-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY MEDICAL OF UPPER EAST SIDE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY MEDICAL OF UPPER EAST SIDE PLLC",
        "enumeration_date": "2013-07-01",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "SWAHILI",
        "authorized_official_title_or_position": "DIRECTOR OF PAYMENT SOLUTIONS",
        "authorized_official_telephone_number": "908-988-0428"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CityMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith Alan Chadwick, MD, MS
• Rakeem Chambers
• Seth Chandler
• Morgan Naichi Chen, M.D.
• Christina Levi Acupuncturist PLLC
• Clifford a. Dukofsky, D.C., P.C
• Jacqueline Sommer Colalillo
• Emily Colletti, BSN, RN
• Rovena Collins, DO
• Christina Colombo

• Urgent Care Clinic/Center in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.