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

100 Granny Rd
Farmingville, NY 11738-2873

Phone

(631) 698-7828

Fax

(631) 698-3300

NPI assigned

May 18, 2018

Organization subpart

No

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 1

Addresses

Other names 1

• CityMD Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Lance Benisch, M.D.

  • Specialist
  • Huntington, NY
  • NPI 1689604415
  NPD
• Edwin A Dominguez Almonte, M.D

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1952659625
  NPD
• Desiree Stemberga, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Greenport, NY
  • NPI 1326083106
  NPD

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1922598598",
    "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": "100 GRANNY RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382873",
            "telephone_number": "631-698-7828",
            "fax_number": "631-698-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY MEDICAL OF UPPER EAST SIDE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "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"
        }
    ]
}

• Linda Chavez, LMT
• Sheviane Chinsammy
• Chowdry LLC
• Rachel Ciccotto
• City Medical of Upper East Side, PLLC
• Meghan Clancy
• Christine Clark, RN
• Ashley Marie Clarke
• Joseph R Comba, DPM
• Compass Family Health, NP., P.L.L.C.

• Urgent Care Clinic/Center in Farmingville, NY
• Providers in Farmingville, 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.