CITY MEDICAL OF UPPER EAST SIDE, PLLC
NPI 1558980748
Clinic/Center - Urgent Care in Ozone Park, NY

Active since April 09, 2020CLIA 33D2183841 · Waiver
10202 LIBERTY AVE, OZONE PARK, NY 11417(718) 571-9265(718) 571-9266 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2025, Sep 11, 2024, Jun 25, 2024 and 1 more (4 updates tracked since 2020).

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 1558980748) is a healthcare organization registered as an urgent care in Ozone Park, New York and active in the NPI registry since April 2020. 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

NPI1558980748
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCITY MEDICAL OF UPPER EAST SIDE, PLLC
Location Address10202 LIBERTY AVEOzone Park, NY 11417-1727
Mailing Address1345 Avenue Of The Americas Fl 8New York, NY 10105-0018 · (908) 588-3635
Fax(718) 571-9266
Organization SubpartYes
Authorized OfficialSwahili HenryDirector Of Payment Solutions · (908) 988-0428
Enumeration DateApril 9, 2020
Last NPPES UpdateMarch 5, 20254 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1558980748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
10202 LIBERTY AVE, Ozone Park, NY 11417

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

City Medical Of Upper East Side, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

593

Medicare enrollment records show 593 clinicians reassign Medicare billing to City Medical Of Upper East Side, PLLC, which bills Medicare for the services they deliver. Of these, 217 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 35

Emergency Medicine214
Family Practice170
Internal Medicine59
Diagnostic Radiology20
Nurse Practitioner20
Pathology17
Gastroenterology13
Orthopedic Surgery9
27 other specialties71

Nearest to this location (20)

See all 593
Emergency Medicine
NPI 1427472182
10923 111TH ST
South Ozone Park, NY 11420
(347) 385-6059
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1336543347
157-40 CROSS BAY BLVD
Howard Beach, NY 11414
(845) 565-3700
✔ PECOS✔ Accepts Medicare1.4 mi
Family Practice
NPI 1174882831
8989 UNION TPKE
Glendale, NY 11385
(718) 847-8500
✔ PECOS✔ Accepts Medicare2.0 mi
Registered Dietitian or Nutrition Professional
NPI 1245454354
CHOICES WOMEN'S HEALTH CENTER 147-32 JAMAICA AVENUE
Jamaica, NY 11435
(718) 786-5000
✔ Accepts Medicare2.1 mi
Family Practice
NPI 1053773846
16221 JAMAICA AVE
Jamaica, NY 11432
(718) 571-9116
✔ PECOS✔ Accepts Medicare2.7 mi
Family Practice
NPI 1508493560
7049 AUSTIN ST
Forest Hills, NY 11375
(718) 280-1245
✔ PECOS✔ Accepts Medicare2.7 mi
Orthopedic Surgery
NPI 1588195200
6940 AUSTIN ST
Forest Hills, NY 11375
(347) 448-5647
✔ PECOS✔ Accepts Medicare2.8 mi
Orthopedic Surgery
NPI 1396192647
6940 AUSTIN ST
Forest Hills, NY 11375
(347) 448-5647
✔ PECOS✔ Accepts Medicare2.8 mi
Otolaryngology
NPI 1780642371
10721 QUEENS BLVD
Forest Hills, NY 11375
(718) 575-3322
✔ PECOS✔ Accepts Medicare2.9 mi
Diagnostic Radiology
NPI 1326289679
10615 QUEENS BLVD APT 3D
Forest Hills, NY 11375
(718) 245-2682
✔ PECOS✔ Accepts Medicare2.9 mi
Emergency Medicine
NPI 1013248285
8268 164TH ST
Jamaica, NY 11432
(917) 584-0819
✔ PECOS✔ Accepts Medicare3.1 mi
Internal Medicine
NPI 1003038274
2094 PITKIN AVE
Brooklyn, NY 11207
(718) 240-0516
✔ PECOS✔ Accepts Medicare3.1 mi
Allergy/Immunology
NPI 1659786440
9876 QUEENS BLVD # 1JK
Rego Park, NY 11374
(347) 336-5972
✔ PECOS✔ Accepts Medicare3.3 mi
Emergency Medicine
NPI 1093803710
10201 66TH RD
Forest Hills, NY 11375
(800) 376-5566
✔ PECOS✔ Accepts Medicare3.4 mi
Emergency Medicine
NPI 1346325313
10201 66TH RD
Forest Hills, NY 11375
(800) 376-5566
✔ PECOS✔ Accepts Medicare3.4 mi
General Practice
NPI 1952488736
9002 QUEENS BLVD
Elmhurst, NY 11373
(718) 558-1733
✔ PECOS✔ Accepts Medicare4.0 mi
Internal Medicine
NPI 1851540553
5925 KISSENA BLVD
Flushing, NY 11355
(718) 670-6172
✔ PECOS✔ Accepts Medicare4.2 mi
Internal Medicine
NPI 1356439285
7425 GRAND AVE
Elmhurst, NY 11373
(718) 803-2273
✔ PECOS✔ Accepts Medicare4.2 mi
Nephrology
NPI 1295147734
BROOKDALE PLAZA ONE
Brooklyn, NY 11212
(718) 240-6205
✔ PECOS✔ Accepts Medicare4.3 mi
Gastroenterology
NPI 1477651123
19303 UNION TPKE
Fresh Meadows, NY 11366
(718) 468-6600
✔ PECOS✔ Accepts Medicare4.7 mi
See all 593 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D2183841

City Medical Of Upper East Side PLLC · Ozone Park, NY
Active · expires Mar 26, 2027
CLIA Number33D2183841
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Dmitry Volfson
Laboratory Phone(718) 571-9265
Laboratory LocationCity Medical Of Upper East Side PLLC102-02 Liberty Ave, Ozone Park, NY 11417
CLIA data matches this NPI record on: 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 1558980748. It was assigned to this organization in the NPPES registry on April 9, 2020.

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

City Medical Of Upper East Side, PLLC is located at 10202 Liberty Ave, Ozone Park, NY 11417. The listed phone number is (718) 571-9265.

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.

Is City Medical Of Upper East Side, PLLC enrolled in Medicare?

Yes. City Medical Of Upper East Side, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through City Medical Of Upper East Side, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 593 clinicians in 35 Medicare specialties reassign their Medicare billing to City Medical Of Upper East Side, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (214), Family Practice (170) and Internal Medicine (59). Of these, 217 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 33D2183841) 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 19 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.