CITY MEDICAL OF UPPER EAST SIDE, PLLC (NPI# 1508400813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508400813 |
| Entity Type | Organization |
| Organization Name | CITY MEDICAL OF UPPER EAST SIDE, PLLC |
| Practice Address |
1143 Lexington Ave New York NY 10075-0440 |
| Mailing Address |
1345 Rxr Plz Fl 13 Uniondale NY 11556-1301 |
| Practice Telephone | 6463504815 |
| Practice Fax Number | 6468636149 |
| 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 & 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 | 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 |
| 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 |
1143 LEXINGTON AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075-0440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
| 1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
| 1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
| 1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| 1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
| 1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
| 1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
| 1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
| Find all providers in zip 10075 | ||||
| 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 |
| 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 |
| 1013342104 | City Medical of Upper East Side, Pllc | Clinic/Center | 561 3rd Avenue, New York, NY 10016 | 2013-09-07 |
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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.