Active NPI
City Medical of Upper East Side, PLLC
- Urgent Care Clinic/Center
- Rockville Centre, NY
National Provider Identifier
1982489761
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
- Summit Health
- Practice address
- 310 Merrick Rd
Rockville Centre, NY 11570-5339 - Phone
- (516) 454-1461
- NPI assigned
- Aug 29, 2023
- 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) 988-0482
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
310 Merrick Rd
Rockville Centre, NY 11570-5339
Mailing address
1345 Avenue of the Americas FL 8
New York, NY 10105-0018
Phone (908) 588-3635
Other names 1
- Summit Health
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 |
|---|---|---|---|
| 33D2271122 | City Medical of Upper East Side | Certificate of waiver | Oct 26, 2026 |
National Provider Directory
National Provider Directory- Part of
- City Medical of Upper East Side PLLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726012800000",
"number": "1982489761",
"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": "310 MERRICK RD",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115705339",
"telephone_number": "516-454-1461"
}
],
"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": "2023-08-29",
"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": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"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"
}
]
}
Other providers in Rockville Centre, 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.
- 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.