City Medical of Upper East Side, PLLC
Organization
Active NPI
Urgent Care Clinic/Center · Queens, NY
NPI 1366028201 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1366028201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- CITY MEDICAL OF UPPER EAST SIDE, PLLC
- Practice address
- 130-30 Farmers Boulevard
Queens, NY 11434
- Phone
- (646) 518-8263
- NPI assigned
- Mar 22, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- CITY MEDICAL OF UPPER EAST SIDE, PLLC
Authorized official
- Name
- Swahili Henry
- Title
- Director of Payment Solutions
- Phone
- (908) 988-0428
Corporate family (same tax ID) 24
Organizations that report the same tax identification number in the National Provider Directory.
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City Medical of Upper East Side PLLC Urgent Care Clinic/Center · Greenvale, NY · NPI 1427722511
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City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Cutchogue, NY · NPI 1295238699
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Hauppauge, NY · NPI 1295467090
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Ridgewood, NY · NPI 1295498988
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Long Beach, NY · NPI 1306284757
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Rocky Point, NY · NPI 1306334677
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Sunnyside, NY · NPI 1336603489
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Bronx, NY · NPI 1336637420
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Bay Shore, NY · NPI 1336749746
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Brooklyn, NY · NPI 1346725454
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Port Jefferson Station, NY · NPI 1346743747
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · East Meadow, NY · NPI 1356789572
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · New York, NY · NPI 1356998603
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Mamaroneck, NY · NPI 1366908089
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Rockville Centre, NY · NPI 1386055648
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Brooklyn, NY · NPI 1386132470
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Brooklyn, NY · NPI 1396452660
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Bronx, NY · NPI 1407303613
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Ronkonkoma, NY · NPI 1417445784
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · New York, NY · NPI 1417501933
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Brooklyn, NY · NPI 1417517012
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Brooklyn, NY · NPI 1427546522
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · New York, NY · NPI 1437522331
-
City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Corona, NY · NPI 1447748587
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
Christina Maria Ganeshalingam, D.O.
Family Medicine Physician · Southampton, NY · NPI 1255711826
-
Jessica Lee Gordon, NP
Family Nurse Practitioner · Levittown, NY · NPI 1295250157
-
Nakasha Kousar Wariech Physician Assistant · Jamaica, NY · NPI 1770265712
-
Sammantha Cacioppo-Cruz, PA
Physician Assistant · Englewood Cliffs, NJ · NPI 1992438543
-
Olga Galper, M.D.
Family Medicine Physician · Bernardsville, NJ · NPI 1922419472
-
Patrick Thomas O'Hara, L.C.S.W.
Clinical Social Worker · Ridgewood, NJ · NPI 1699051292
Laboratory certificates & supplier records
Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|
| 33D2217349 | City Medical of Upper East Side, PLLC
130-30 Farmers Blvd, Jamaica, NY 11434 | Certificate of waiver | Mar 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| O20101111000052 |
NY |
Part B Supplier - Clinic/Group Practice |
0648465039 |
Receives reassigned benefits from 871 practitioners
This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- City Medical of Upper East Side PLLC (136 organizations share this tax ID)
- Part of
- City Medical of Upper East Side PLLC
Locations
399 Knickerbocker Ave
Brooklyn, NY 11237
Phone (718) 571-9168
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Urgent Care Clinic/Center |
261QU0200X |
|
|
Yes |
Addresses
Primary practice location
130-30 Farmers Boulevard
Queens, NY 11434
Mailing address
1345 Avenue of the Americas FL 8
New York, NY 10105-0018
Phone (908) 588-3635
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (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.