CITY MEDICAL OF UPPER EAST SIDE, PLLC (NPI# 1801207998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801207998 |
| Entity Type | Organization |
| Organization Name | CITY MEDICAL OF UPPER EAST SIDE, PLLC |
| Other Organization Name | CITYMD URGENT CARE |
| Practice Address |
193 W 237th St Bronx NY 10463-4141 |
| Mailing Address |
1345 Rxr Plz Uniondale NY 11556-1301 |
| Practice Telephone | 7183030479 |
| Practice Fax Number | 7183030480 |
| Mailing Telephone | 5167834600 |
| Mailing Fax Number | 5167834612 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2019-08-22 |
| 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 |
| 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 |
193 W 237TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10463-4141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386634129 | Jill S. Waldman | Internal Medicine | 193 W 237th St, Bronx, NY 10463 | 2005-10-24 |
| 1053761411 | Maruf Hossain | Physician Assistant | 193 W 237th St, Bronx, NY 10463-4141 | 2016-06-16 |
| 1851311989 | Ernst Paul Jr. | Emergency Medicine | 193 W 237th St, Bronx, NY 10463 | 2006-07-20 |
| 1356394266 | Tatyana Samchuk | Physician Assistant | 193 W 237th St, Bronx, NY 10463-4141 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313466 | Nikki Krizia Oral | Physical Therapist | 3424 Kingsbridge Avenue, Bronx, 7h, New York, NY 10463 | 2020-07-10 |
| 1932726528 | Beena Dacosta | Nurse Practitioner | 3725 Blackstone Avenue, Apt 7e, Bronx, NY 10463 | 2020-06-29 |
| 1578102612 | Fanta Nawada | Licensed Practical Nurse | 2899 Kingsbrige Terrace, Bronx, NY 10463 | 2020-01-06 |
| 1740821016 | James Albert Curtis | Technician | 3475 Greystone Ave. Apt 2h, Bx, NY 10463 | 2019-10-08 |
| 1598328890 | Chad Feay | Health Educator | 75 W. 238th Street Apt 7e, Bronx, NY 10463 | 2019-04-22 |
| 1174093488 | Bobby E Felicie | Counselor | 3205 Oxford Ave, 10, Bronx, NY 10463 | 2018-11-29 |
| 1083114375 | Riverdale Ophthalmology Pllc | Ophthalmology | 3220 Fairfield Ave Ofc 1, Bronx, NY 10463 | 2018-02-13 |
| 1942713342 | Iql, LLC | Health Educator | 3207 Oxford Avenue, Apt 11, Bronx, NY 10463 | 2017-11-08 |
| 1275045312 | Miziel Remolona | Nurse Practitioner | 3486 Fort Independence St, Ph, Bronx, NY 10463 | 2017-10-30 |
| 1699284117 | Nidhi Vijay Mehta | Physical Therapist | 280 W, 231st St, Bronx, Newyork City, NY 10463 | 2017-09-27 |
| Find all providers in zip 10463 | ||||
| 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 |
| 1932708773 | City Medical of Upper East Side, Pllc | Clinic/Center | 3780 E Tremont Ave, Bronx, NY 10465-2434 | 2020-10-22 |
| 1902425192 | City Medical of Upper East Side, Pllc | Clinic/Center | 3494 Jerome Ave, Bronx, NY 10467-1002 | 2020-04-09 |
| 1477197796 | City Medical of Upper East Side, Pllc | Clinic/Center | 1047 Southern Blvd, Bronx, NY 10459-3427 | 2019-10-30 |
| 1487177572 | Webster Urgent Care, P.C. | Clinic/Center | 1210 Webster Avenue, Bronx, NY 10456 | 2017-07-20 |
| 1881115822 | Doctor Urgent Medical Care, Pllc | Clinic/Center | 538 East Fordham Road, Bronx, NY 10458-5015 | 2017-06-29 |
| 1578098521 | Rh Medical Professional Pllc | Clinic/Center | 3750b 3rd Ave, Bronx, NY 10456-2102 | 2017-04-27 |
| 1093246274 | Bronx Urgent Care, P.C. | Clinic/Center | 1733 E 174th St, Bronx, NY 10472-1801 | 2017-03-21 |
| 1417365461 | Harlem Urgent Care | Clinic/Center | 210 E 201st St Apt 6b, Bronx, NY 10458-1858 | 2014-07-22 |
| 1770885808 | Urgent Care Physician of New York-hartsdale Pllc | Clinic/Center | 843 Hutchinson River Pkwy, Bronx, NY 10465-1818 | 2010-11-22 |
| Find all providers in BRONX | ||||
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| 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.