CITY MEDICAL OF UPPER EAST SIDE, PLLC


Address: 1047 Southern Blvd, Bronx, NY 10459-3427
Phone: 6463467920

CITY MEDICAL OF UPPER EAST SIDE, PLLC (NPI# 1477197796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477197796
Entity Type Organization
Organization Name CITY MEDICAL OF UPPER EAST SIDE, PLLC
Practice Address 1047 Southern Blvd
Bronx
NY 10459-3427
Mailing Address 1345 Rxr Plz Fl 13
Uniondale
NY 11556-1301
Practice Telephone 6463467920
Practice Fax Number 6463467921
Mailing Telephone 5164530435
Mailing Fax Number 6468463283
Enumeration Date 2019-10-30
Last Update Date 2019-10-30
Authorized Official Name MARLENA SIMPSON (VP, CREDENTIALING / ENROLLMENTS)
Authorized Official Telephone 5164530435
Authorized Official Credential CPMSM
Is Organization Subpart Y
Parent Organization Name CITY MEDICAL OF UPPER EAST SIDE, PLLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
CityMD Doing Business As Name - Organization

Other Provider IDs and Locations

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
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

Other Data Sources

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

Office Location

Street Address 1047 SOUTHERN BLVD
City BRONX
State NY
Zip Code 10459-3427

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912508458 Sterling Smiles LLC Dentist 1022 E163rd St, Bronx, NY 10459 2020-11-02
1710496633 Vitus C. Ezerioha Licensed Practical Nurse 870 Southern Blvd., Apt 1a, Bronx, NY 10459 2017-09-22
1790208403 Jessica S Lee Early Intervention Provider Agency 985 Intervale Ave Apt. 2c, Bronx, NY 10459 2017-07-25
1669901070 Ruthlyn Merrick Registered Nurse 1466 Louis Nine Blvd, Bronx, NY 10459 2017-06-08
1154865681 John Wahl Speech-Language Pathologist 977 Fox St., Is 217, Bronx, NY 10459 2016-12-19
1801349675 Aneesa Ible Social Worker 953 Southern Blvd, Suite 301, Odyssey House Inc., Bronx, NY 10459 2016-07-28
1457711277 Agboade Ademiju Registered Nurse 900 Intervale Ave, Archcare, Bronx, Bronx, NY 10459 2016-03-07
1952760076 Apollo Radio Dispatcher Taxi 801 Freeman Street, Bronx, NY 10459 2016-02-17
1730547522 Foxhurst Medical of New York LLC Surgery 947 Southern Blvd Ste B, Bronx, NY 10459 2016-02-08
1063892388 Vismar Radio Dispatch Inc. Taxi 1040-52 Freeman St, Bronx, NY 10459 2015-06-02
Find all providers in zip 10459

Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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
1962046276 City Medical of Upper East Side, Pllc Clinic/Center 32 Westchester Sq, Bronx, NY 10461-3514 2019-10-30
Find all providers in BRONX

Competitor

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City BRONX
Zip Code 10459

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Dataset Information

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.

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