CITY MEDICAL OF UPPER EAST SIDE, PLLC (NPI# 1174089056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174089056 |
| Entity Type | Organization |
| Organization Name | CITY MEDICAL OF UPPER EAST SIDE, PLLC |
| Practice Address |
216 E 14th St Ste B New York NY 10003-4105 |
| Mailing Address |
1345 Rxr Plz Fl 13 Uniondale NY 11556-1301 |
| Practice Telephone | 8559248963 |
| Practice Fax Number | 8446262847 |
| Mailing Telephone | 5164530435 |
| Mailing Fax Number | 6468463283 |
| Enumeration Date | 2019-02-15 |
| 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 | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CityMD | 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 |
216 E 14TH ST STE B |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| Find all providers in zip 10003 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1831718196 | Critical Care Medicine Services - New York, P.C. | Clinic/Center | 747 3rd Ave Ste 28b, New York, NY 10017-2803 | 2020-04-15 |
| 1336799295 | Wellness Medical Services of Manhattan PC | Clinic/Center | 51 E 25th St Ste 499, New York, NY 10010-2945 | 2019-09-12 |
| 1093282329 | The Medical Offices of Occupational Health Resources P C | Clinic/Center | 500 W 33rd St, New York, NY 10001-1301 | 2018-10-24 |
| 1134615016 | City Integrative Medicine PC | Clinic/Center | 56 W 45th St Fl 8, New York, NY 10036-4215 | 2018-07-03 |
| 1659878312 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 175 Greenwich St, 3 World Trade Center, New York, NY 10007-9998 | 2018-04-10 |
| 1609375344 | Iheart Health and Wellness | Clinic/Center | 131 W 33rd St Fl 14, New York, NY 10001-2938 | 2018-02-08 |
| 1447758610 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 55 E 52nd St, New York, NY 10055-0002 | 2018-01-23 |
| 1952834343 | Sheltering Arms Children and Family Services, Inc. | Clinic/Center | 305 7th Ave Fl 4, New York, NY 10001-6280 | 2017-04-04 |
| 1184164113 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 230 Park Ave S, New York, NY 10003-1528 | 2017-02-23 |
| 1902260615 | Emote Medical Services PC | Clinic/Center | 100 Park Ave Rm 1600, New York, NY 10017-5538 | 2016-04-08 |
| 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.