CITY MEDICAL OF UPPER EAST SIDE, PLLC
NPI 1417517012
Clinic/Center - Urgent Care in Brooklyn, NY

Active since June 17, 2019CLIA 33D2167970 · Waiver
1243 FULTON ST, BROOKLYN, NY 11216(646) 647-1257(646) 647-1258 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2025, Sep 11, 2024, Jun 25, 2024 and 1 more (4 updates tracked since 2019).

About City Medical Of Upper East Side, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITY MEDICAL OF UPPER EAST SIDE, PLLC (NPI 1417517012), doing business as Citymd, is a healthcare organization registered as an urgent care in Brooklyn, New York and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Swahili Henry, Director Of Payment Solutions, as its authorized official.

NPPES Registry Identity

NPI1417517012
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCITY MEDICAL OF UPPER EAST SIDE, PLLC
Location Address1243 FULTON STBrooklyn, NY 11216-2004
Mailing Address1345 Avenue Of The Americas Fl 8New York, NY 10105-0018 · (908) 588-3635
Fax(646) 647-1258
Organization SubpartYes
Authorized OfficialSwahili HenryDirector Of Payment Solutions · (908) 988-0428
Enumeration DateJune 17, 2019
Last NPPES UpdateMarch 5, 20254 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
NPI 1417517012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1243 FULTON ST, Brooklyn, NY 11216

Other Names 1

Doing Business AsCitymd

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2167970

City Medical Of Upper East Side PLLC · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2167970
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Dmitry Volfson
Laboratory Phone(646) 647-1257
Laboratory LocationCity Medical Of Upper East Side PLLC1243 Fulton Street, Brooklyn, NY 11216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is City Medical Of Upper East Side, PLLC's NPI number?

The NPI number for City Medical Of Upper East Side, PLLC is 1417517012. It was assigned to this organization in the NPPES registry on June 17, 2019. The provider is doing business as CityMD.

Where is City Medical Of Upper East Side, PLLC located?

City Medical Of Upper East Side, PLLC is located at 1243 Fulton St, Brooklyn, NY 11216. The listed phone number is (646) 647-1257.

What is City Medical Of Upper East Side, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does City Medical Of Upper East Side, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2167970) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for City Medical Of Upper East Side, PLLC was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.