CITY MEDICAL OF UPPER EAST SIDE, PLLC (NPI# 1336603489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336603489 |
| Entity Type | Organization |
| Organization Name | CITY MEDICAL OF UPPER EAST SIDE, PLLC |
| Practice Address |
47-24 Queens Blvd Sunnyside NY 11104 |
| Mailing Address |
1345 Rxr Plz Fl 13 Uniondale NY 11556-1301 |
| Practice Telephone | 7185719332 |
| Practice Fax Number | 7185719332 |
| Mailing Telephone | 5164530435 |
| Mailing Fax Number | 6468463283 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | MARLENA SIMPSON (VICE PRESIDENT, CREDENTIALING) |
| Authorized Official Telephone | 5164530435 |
| Authorized Official Credential | CPMSM |
| Is Organization Subpart | Y |
| Parent Organization Name | CITY MEDICAL OF UPPER EAST SIDE, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961961 | City Medical of Upper East Side, Pllc | Clinic/Center | 48 East 170th Street, Bronx, Ny 10452, Bronx, NY 10452 | 2020-10-27 |
| 1174122923 | City Medical of Upper East Side, Pllc | Clinic/Center | 1412 Broadway, New York, NY 10018-9228 | 2020-10-22 |
| 1932708773 | City Medical of Upper East Side, Pllc | Clinic/Center | 3780 E Tremont Ave, Bronx, NY 10465-2434 | 2020-10-22 |
| 1649899832 | City Medical of Upper East Side, Pllc | Clinic/Center | 424 S Broadway, Yonkers, NY 10705-2301 | 2020-04-09 |
| 1902425192 | City Medical of Upper East Side, Pllc | Clinic/Center | 3494 Jerome Ave, Bronx, NY 10467-1002 | 2020-04-09 |
| 1558980748 | City Medical of Upper East Side, Pllc | Clinic/Center | 10202 Liberty Ave, Ozone Park, NY 11417-1727 | 2020-04-09 |
| 1548889736 | City Medical of Upper East Side, Pllc | Clinic/Center | 22405 Jamaica Ave, Queens Village, NY 11428-2019 | 2020-04-09 |
| 1891339115 | City Medical of Upper East Side, Pllc | Clinic/Center | 129 Sunrise Hwy W, Patchogue, NY 11772-1846 | 2019-10-30 |
| 1477197796 | City Medical of Upper East Side, Pllc | Clinic/Center | 1047 Southern Blvd, Bronx, NY 10459-3427 | 2019-10-30 |
| 1508400813 | City Medical of Upper East Side, Pllc | Clinic/Center | 1143 Lexington Ave, New York, NY 10075-0440 | 2019-10-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CITY MEDICAL OF UPPER EAST SIDE, PLLC | 1345 Ave of The Americas, New York, NY 10105 |
| Street Address |
47-24 QUEENS BLVD |
| City | SUNNYSIDE |
| State | NY |
| Zip Code | 11104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558821751 | Angelica Ramnarain | Pharmacist | 41 08 Queens Blvd., Sunnyside, NY 11104 | 2019-03-22 |
| 1972012201 | Matthew Koziolek | Counselor | 4404 Queens Blvd Fl 2, Sunnyside, NY 11104 | 2017-09-29 |
| 1376052555 | Clara Velma Haylock | Licensed Practical Nurse | 4528 40th Ave, 2r, Sunnyside, NY 11104 | 2017-09-20 |
| 1831630169 | Wan-jung Lin | Physical Therapist | 43-48 48th St, Sunnysid, NY 11104 | 2017-03-20 |
| 1881137875 | Eastern Pharmacy Inc | Pharmacy | 4504 Greenpoint Ave, Sunnyside, NY 11104 | 2016-11-23 |
| 1770039349 | Asian Adult Day Care Center | Clinic/Center | 4120 Queens Boulevard, Sunnyside, NY 11104 | 2016-09-01 |
| 1407210818 | Amelia Anderson | Community Health Worker | 40-31 48th Street, Sunnyside, NY 11104 | 2016-04-12 |
| 1467703801 | Maureen Eisenberg | Nurse Practitioner | 47-01 Queens Boulevard, Suite 303, Sunnyside, NY 11104 | 2012-09-25 |
| 1255693628 | Suman Ghosh | Specialist | 47-15, 43rd Av, Sunnyside,queens, NY 11104 | 2012-06-12 |
| 1558648162 | Mahbub Zaman Khundkar | Pharmacist | 4504 Greenpoint Avenue, Sunnyside, NY 11104 | 2011-11-10 |
| Find all providers in zip 11104 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961961 | City Medical of Upper East Side, Pllc | Clinic/Center | 48 East 170th Street, Bronx, Ny 10452, Bronx, NY 10452 | 2020-10-27 |
| 1174122923 | City Medical of Upper East Side, Pllc | Clinic/Center | 1412 Broadway, New York, NY 10018-9228 | 2020-10-22 |
| 1932708773 | City Medical of Upper East Side, Pllc | Clinic/Center | 3780 E Tremont Ave, Bronx, NY 10465-2434 | 2020-10-22 |
| 1932712049 | Lefferts Medical Associates PC | Clinic/Center | 808a Hicksville Rd, Massapequa, NY 11758-1262 | 2020-08-28 |
| 1619599578 | Rite Medical Care PC | Clinic/Center | 504 Myrtle Ave, Brooklyn, NY 11205-3542 | 2020-05-14 |
| 1649899832 | City Medical of Upper East Side, Pllc | Clinic/Center | 424 S Broadway, Yonkers, NY 10705-2301 | 2020-04-09 |
| 1902425192 | City Medical of Upper East Side, Pllc | Clinic/Center | 3494 Jerome Ave, Bronx, NY 10467-1002 | 2020-04-09 |
| 1558980748 | City Medical of Upper East Side, Pllc | Clinic/Center | 10202 Liberty Ave, Ozone Park, NY 11417-1727 | 2020-04-09 |
| 1548889736 | City Medical of Upper East Side, Pllc | Clinic/Center | 22405 Jamaica Ave, Queens Village, NY 11428-2019 | 2020-04-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CITY MEDICAL OF UPPER EAST SIDE, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.