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).
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 |
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 | 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 |
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 |
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 |
1047 SOUTHERN BLVD |
City | BRONX |
State | NY |
Zip Code | 10459-3427 |
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 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 |
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 |
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.