CITY MEDICAL OF UPPER EAST SIDE, PLLC (NPI# 1619465994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619465994 |
| Entity Type | Organization |
| Organization Name | CITY MEDICAL OF UPPER EAST SIDE, PLLC |
| Other Organization Name | CITYMD URGENT CARE |
| Practice Address |
901 Sunrise Hwy Copiague NY 11726-1300 |
| Mailing Address |
1345 Rxr Plz Fl 13 Uniondale NY 11556-1301 |
| Practice Telephone | 6318415900 |
| Mailing Telephone | 5167834600 |
| Mailing Fax Number | 6468463283 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Authorized Official Name | MARLENA SIMPSON (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 5167864300 |
| 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 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 |
901 SUNRISE HWY |
| City | COPIAGUE |
| State | NY |
| Zip Code | 11726-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023498292 | Kavita Beharry-mohan | Family Medicine | 901 Sunrise Hwy, Copiague, NY 11726-1300 | 2015-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205025 | Itav - Nurse Practitioner Family Health Pllc | Nurse Practitioner | 695 Marconi Blvd #436, Copiague, NY 11726 | 2019-10-07 |
| 1144705005 | Lauren Lauria-urquhart | Licensed Practical Nurse | 27 East Gate, Copiague, NY 11726 | 2018-09-26 |
| 1295215929 | Adero Gaudin | Registered Nurse | 162 Cedar Court, Copiague, NY 11726 | 2018-08-21 |
| 1255838470 | Jasmine Nichole Walker | Behavioral Analyst | 70 Wartburg Ave, Copiague, NY 11726 | 2018-04-13 |
| 1275080764 | Jennifer Lindner | Specialist | 40 Shore Drive W, Copiague, NY 11726 | 2016-09-01 |
| 1417403627 | Alexa Aragona | Specialist | 95 Abbington Ct, Copiague, NY 11726 | 2016-08-28 |
| 1396102091 | Federation of Organizations for The New York State for The Mentally Di | Counselor | 1375 Akron St, Copiague, NY 11726 | 2016-01-26 |
| 1992060560 | Jolie Dichter | Psychologist | 1100 Dixon Avenue, Copiague High School, Copiague, NY 11726 | 2012-07-10 |
| 1972897452 | Elaine James | Licensed Practical Nurse | 58-34 Street, Copiague, NY 11726 | 2011-06-02 |
| 1710131719 | Malgorzata Na Kopec | Dentist | 1635 Great Neck Road, Copiague, NY 11726 | 2008-11-05 |
| Find all providers in zip 11726 | ||||
| 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 |
| 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 |
| 1932712049 | Lefferts Medical Associates PC | Clinic/Center | 808a Hicksville Rd, Massapequa, NY 11758-1262 | 2020-08-28 |
| 1619599578 | Rite Medical Care PC | Clinic/Center | 504 Myrtle Ave, Brooklyn, NY 11205-3542 | 2020-05-14 |
| 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 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
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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.