Organization Active NPI

City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
National Provider Identifier
1417501933
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CITY MEDICAL OF UPPER EAST SIDE, PLLC
Practice address
356 W 125TH St
New York, NY 10027-4820
Phone
(646) 647-1267
Fax
(646) 647-1268
NPI assigned
Aug 1, 2019
Organization subpart
Yes
Parent organization
CITY MEDICAL OF UPPER EAST SIDE, PLLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Swahili Henry
Title
Director of Payment Solutions
Phone
(908) 988-0482

National Provider Directory

National Provider Directory
Tax ID family
City Medical of Upper East Side PLLC136 organizations share this tax ID, including this one
Part of
City Medical of Upper East Side PLLC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

NPPES NPI Registry

Primary practice location

356 W 125TH St
New York, NY 10027-4820

Mailing address

1345 Avenue of the Americas FL 8
New York, NY 10105-0018
Phone (908) 588-3635

Other names 1

NPPES NPI Registry
  • CITYMD URGENT CARE Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2024.

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1417501933",
    "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": "356 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274820",
            "telephone_number": "646-647-1267",
            "fax_number": "646-647-1268"
        }
    ],
    "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": "2019-08-01",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "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": "908-988-0482"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITYMD URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CITYMD URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.