CITY MEDICAL OF UPPER EAST SIDE, PLLC (NPI# 1558980748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558980748 |
| Entity Type | Organization |
| Organization Name | CITY MEDICAL OF UPPER EAST SIDE, PLLC |
| Practice Address |
10202 Liberty Ave Ozone Park NY 11417-1727 |
| Mailing Address |
1345 Rxr Plz Fl 13 Uniondale NY 11556-1301 |
| Practice Telephone | 7185719265 |
| Practice Fax Number | 7185719266 |
| Mailing Telephone | 5164530435 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | MARLENA SIMPSON (VP, CREDENTIALING & ENROLLMENT) |
| 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 |
| 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 |
| 1235770777 | City Medical of Upper East Side, Pllc | Clinic/Center | 25-18 Queens Plaza South, Long Island City, NY 11101 | 2019-10-07 |
| 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 |
10202 LIBERTY AVE |
| City | OZONE PARK |
| State | NY |
| Zip Code | 11417-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757723 | Raymond Videsh Seelochan | Physician Assistant | 105-14 91st Street, Ozone Park, NY 11417 | 2020-07-21 |
| 1942778907 | All Medical Equipments Inc | Durable Medical Equipment & Medical Supplies | 10621 97th St Unit Bc, Ozone Park, NY 11417 | 2018-11-08 |
| 1871085696 | Jellybean Ei Inc. | Case Management | 13524 96th St, Ozone Park, NY 11417 | 2018-06-06 |
| 1093238180 | Goydan Pharmacy Inc | Pharmacy | 150-29 Cross Bay Blvd, Store 1, Ozone Park, NY 11417 | 2017-07-20 |
| 1326585183 | Quest Pharmacy Corp | Pharmacy | 150-29 Cross Bay Blvd Store 1, Ozone Park, NY 11417 | 2017-01-31 |
| 1609319441 | Alexandra Musacchio | Speech-Language Pathologist | 104-50 102nd St, 2e, Ozone Park, NY 11417 | 2016-11-28 |
| 1083166805 | Danielle Natman | Social Worker | 108-19 Rockaway Boulevard, Ozone Park, NY 11417 | 2016-10-27 |
| 1487018388 | Antonia Diaz | Registered Nurse | 107-46 90th Street, 2nd Floor, Ozone Park, NY 11417 | 2016-04-07 |
| 1871967901 | Ngozi Ezinne Inwelegbu | Licensed Practical Nurse | 133-25 87th Street, 2b, Ozone Park, NY 11417 | 2015-12-01 |
| 1073982815 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 92-10 Atlantic Ave, Ozone Park, NY 11417 | 2015-09-23 |
| Find all providers in zip 11417 | ||||
| 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 |
| 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 |
| 1275177321 | Saratoga Hospital | Clinic/Center | 959 State Route 9 Ste O, Queensbury, NY 12804-6290 | 2019-11-01 |
| Find all providers with the same taxonomy | ||||
| City | OZONE PARK |
| Zip Code | 11417 |
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.