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

1865 Broadway
New York, NY 10023-7501

Phone

(646) 462-4100

NPI assigned

May 19, 2022

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) 988-0482

Specialties & licenses 2

Addresses

Other names 1

• Summit Health 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

Locations

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1801533930",
    "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": "1865 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237501",
            "telephone_number": "646-462-4100"
        }
    ],
    "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": "2022-05-19",
        "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
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC

• Urgent Care Clinic/Center in New York, NY
• Providers in New York, 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 Sep 11, 2024; 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.