Active NPI
City Medical of Upper East Side, PLLC
Doing business as CityMD Urgent Care
- Urgent Care Clinic/Center
- Syosset, NY
National Provider Identifier
1730425414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- CITY MEDICAL OF UPPER EAST SIDE, PLLC
- Doing business as
- CityMD Urgent Care
- Practice address
- 358 Jericho Tpke
Syosset, NY 11791-4544 - Phone
- (516) 677-9200
- Fax
- (516) 677-9202
- NPI assigned
- Dec 27, 2012
- Organization subpart
- Yes
- Parent organization
- CITY MEDICAL OF UPPER EAST SIDE,PLLC
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
358 Jericho Tpke
Syosset, NY 11791-4544
Mailing address
1345 Avenue of the Americas FL 8
New York, NY 10105-0018
Phone (908) 588-3635
Other names 1
- CityMD Urgent Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| 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 |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2052752 | City Medical of Upper East Side PLLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Part of
- City Medical of Upper East Side PLLC
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Pleasantville, NY
- NPI 1619673449
-
- Physician Assistant
- New York, NY
- NPI 1639757289
-
- Family Medicine Physician
- New York, NY
- NPI 1801974944
-
- Medical Physician Assistant
- Berkeley Heights, NJ
- NPI 1174808919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1730425414",
"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": "358 JERICHO TPKE",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117914544",
"telephone_number": "516-677-9200",
"fax_number": "516-677-9202"
}
],
"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": "2012-12-27",
"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 Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Syosset, NY
Sources for this page
- 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.