CITY MEDICAL OF UPPER EAST SIDE, PLLC (NPI# 1720327372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720327372 |
| Entity Type | Organization |
| Organization Name | CITY MEDICAL OF UPPER EAST SIDE, PLLC |
| Other Organization Name | CITYMD URGENT CARE |
| Practice Address |
235 Glen Cove Rd Carle Place NY 11514-1221 |
| Mailing Address |
1345 Rxr Plz Uniondale NY 11556-1301 |
| Practice Telephone | 5167834600 |
| Practice Fax Number | 5167834612 |
| Mailing Telephone | 5167834600 |
| Mailing Fax Number | 5167834612 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2019-02-15 |
| Authorized Official Name | MARLENA SIMPSON (VP, 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 |
| Other Name | Type Code |
|---|---|
| CityMD Urgent Care | Doing Business As Name - Organization |
| 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 |
235 GLEN COVE RD |
| City | CARLE PLACE |
| State | NY |
| Zip Code | 11514-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902876758 | Helen Weiss | Emergency Medicine | 235 Glen Cove Rd, Carle Place, NY 11514-1221 | 2006-01-25 |
| 1952716151 | Brittani Imbrie | Physician Assistant | 235 Glen Cove Rd, Carle Place, NY 11514-1221 | 2014-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972974053 | Joi Patel | Occupational Therapist | 306 Raff Avenue, Carle Place, NY 11514 | 2015-10-14 |
| 1114312907 | Jessica Elizabeth Omara | Pediatrics | 181 Old Country Rd, Carle Place, NY 11514 | 2015-03-30 |
| 1578873436 | Jean-gabriel Desravines | Registered Nurse | 4 Cornwall Lane, Carle Place, NY 11514 | 2010-10-13 |
| 1033441530 | Francesco G Scoleri | Pharmacist | 93 Old Country Road, Carle Place, NY 11514 | 2010-02-08 |
| 1538309265 | Salvatore Martella | Prosthetist | 516 Mineola Ave, Progressive Orthotics & Prosthetics, Carle Place, NY 11514 | 2009-02-20 |
| 1699915306 | Erika Beth Mark | Student in an Organized Health Care Education/Training Program | 181 Old Country Road, Carle Place, NY 11514 | 2009-02-20 |
| 1013121649 | Victor J Fumuso | Podiatrist | 474 Westbury Ave, Carle Place, NY 11514 | 2007-05-10 |
| 1275684144 | Rosaire Laine | Nurse Practitioner | 2376 Pempstad Tpke, East Meadow, NY 11514 | 2007-01-16 |
| 1083708788 | Vicki Kulberg | Social Worker | 1 Old Country Road, Suite 295, Carle Place, NY 11514 | 2006-10-03 |
| 1720044274 | Carmen J Finamore | Family Medicine | 536 Mineola Avenue, Carle Place, NY 11514 | 2006-04-25 |
| Find all providers in zip 11514 | ||||
| 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 | ||||
| City | CARLE PLACE |
| Zip Code | 11514 |
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.