CITY MEDICAL OF UPPER EAST SIDE, PLLC (NPI# 1962868372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962868372 |
| Entity Type | Organization |
| Organization Name | CITY MEDICAL OF UPPER EAST SIDE, PLLC |
| Other Organization Name | CITYMD URGENT CARE |
| Practice Address |
3556 Broadway New York NY 10031 |
| Mailing Address |
1345 Rxr Plz Uniondale NY 11556-1301 |
| Practice Telephone | 5167834600 |
| Mailing Telephone | 5167834600 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | DR. RICHARD PARK (MANAGING OWNER) |
| Authorized Official Telephone | 5167834600 |
| Authorized Official Credential | MD |
| 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 |
3556 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033591375 | Phillip Carron | Family Medicine | 3556 Broadway, New York, NY 10031 | 2015-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883675 | Lisa Tian Chen | Physician Assistant | 160 Convent Ave., Harris Hall #15, New York, NY 10031 | 2019-10-18 |
| 1699329144 | Dianna Rosario | Registered Nurse | 640 Riverside Drive, New York, NY 10031 | 2019-08-01 |
| 1447767058 | Sophie Jetta Miller | Social Worker | 507 West 140th Street, #43, New York, NY 10031 | 2018-01-04 |
| 1376074005 | Broadway Rx Enterprises Inc | Pharmacy | 3489 Broadway, New York, NY 10031 | 2017-03-24 |
| 1174061469 | Mbene Diop | In Home Supportive Care | 505 West 148 St Apt 4a, New York, NY 10031 | 2017-02-07 |
| 1447702691 | Sylvan Roger Maginley Jr. | General Practice | 302 Convent Avenue 6, New York, NY 10031 | 2016-11-03 |
| 1477009124 | Anthony Mcfadden | Counselor | 625 West 140th Street, Manhattan, NY 10031 | 2016-08-31 |
| 1942754601 | E-green Pharmacy Inc | Pharmacy | 3500 Broadway, New York, NY 10031 | 2016-08-11 |
| 1356712657 | Sandra Bulos | Internal Medicine | 3410-18 Broadway 2nd Fl, New York, NY 10031 | 2015-10-13 |
| 1649664319 | L Dental PC | Dentist | 3682 Broadway Ground Level, New York, NY 10031 | 2015-03-20 |
| Find all providers in zip 10031 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122923 | City Medical of Upper East Side, Pllc | Clinic/Center | 1412 Broadway, New York, NY 10018-9228 | 2020-10-22 |
| 1508400813 | City Medical of Upper East Side, Pllc | Clinic/Center | 1143 Lexington Ave, New York, NY 10075-0440 | 2019-10-30 |
| 1356998603 | City Medical of Upper East Side, Pllc | Clinic/Center | 24 Broad Street, New York, NY 10005 | 2019-08-21 |
| 1417501933 | City Medical of Upper East Side, Pllc | Clinic/Center | 356 W 125th St, New York, NY 10027-4820 | 2019-08-01 |
| 1295276459 | The Iv Medical Doctor, P.c | Clinic/Center | 53 W 36th St, Suite 204, New York, NY 10018-7903 | 2017-03-20 |
| 1861858896 | City Medical of Upper East Side, Pllc | Clinic/Center | 944 2nd Ave, New York, NY 10022-7805 | 2016-01-06 |
| 1124404231 | City Medical of Upper East Side, Pllc | Clinic/Center | 1500 Lexington Avenue, New York, NY 11556 | 2015-07-31 |
| 1801277629 | City Medical of Upper East Side, Pllc | Clinic/Center | 87 Chambers Street, New York, NY 10007 | 2015-06-17 |
| 1033506043 | Alexander L. Blinski Md P.C. | Clinic/Center | 62 Charles St, Apt 4, New York, NY 10014-3087 | 2015-04-17 |
| 1760899678 | City Medical of Upper East Side, Pllc | Clinic/Center | 2710 Broadway, New York, NY 10025-8701 | 2014-07-14 |
| Find all providers in NEW YORK | ||||
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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.