Active NPI
City Medical of Upper East Side, PLLC
- Urgent Care Clinic/Center
- Staten Island, NY
National Provider Identifier
1992420533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- CITY MEDICAL OF UPPER EAST SIDE, PLLC
- Practice address
- 5788-5800 Amboy Road
Staten Island, NY 10309 - Phone
- (718) 571-9716
- NPI assigned
- Oct 6, 2022
- 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
5788-5800 Amboy Road
Staten Island, NY 10309
Mailing address
1345 Avenue of the Americas FL 8
New York, NY 10105-0018
Phone (908) 588-3635
Other names 1
- CityMD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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 |
|---|---|---|---|
| 33D2270038 | 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 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Bronx, NY
- NPI 1295260305
-
- Physician Assistant
- New York, NY
- NPI 1801336078
-
- Physician Assistant
- New York, NY
- NPI 1316097330
-
- Family Medicine Physician
- White Plains, NY
- NPI 1225328073
-
- Medical Physician Assistant
- Teterboro, NJ
- NPI 1427618172
-
- Physician Assistant
- Berkeley Heights, NJ
- NPI 1811367949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741132800000",
"number": "1992420533",
"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": "5788-5800 AMBOY ROAD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10309",
"telephone_number": "718-571-9716"
}
],
"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": "2022-10-06",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"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",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CityMD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staten Island, NY
- Citibrites Surgical LLC
- City Access New York, Inc.
- City Medical of Upper East Side, PLLC
- City Medical of Upper East Side, PLLC
- City Medical of Upper East Side, PLLC
- City Medical Office PC.
- City of New York Office of Payroll Administration
- City Zen Licensed Clinical Social Work P.C.
- Citymed Medical Equipment Inc
- Jessica Leigh Ciurcina, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.