CITY MEDICAL OF UPPER EAST SIDE, PLLC
NPI 1760937445
Clinic/Center - Urgent Care in Staten Island, NY

Active since August 23, 2016CLIA 33D2117919 · Waiver
2710 HYLAN BLVD, STATEN ISLAND, NY 10306(718) 489-3551(718) 489-3552 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2025, Sep 11, 2024, Jun 26, 2024 and 3 more (6 updates tracked since 2016).

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 1760937445) is a healthcare organization registered as an urgent care in Staten Island, New York and active in the NPI registry since August 2016. 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

NPI1760937445
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCITY MEDICAL OF UPPER EAST SIDE, PLLC
Location Address2710 HYLAN BLVDStaten Island, NY 10306-4658
Mailing Address1345 Avenue Of The Americas Fl 8New York, NY 10105-0018 · (908) 588-3635
Fax(718) 489-3552
Organization SubpartYes
Authorized OfficialSwahili HenryDirector Of Payment Solutions · (908) 988-0428
Enumeration DateAugust 23, 2016
Last NPPES UpdateMarch 3, 20256 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
NPI 1760937445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
2710 HYLAN BLVD, Staten Island, NY 10306

Other Names 1

Other NameCity Medical Of New Dorp

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 33D2117919

City Medical Of Upper East Side PLLC · Staten Island, NY
Active · expires Mar 26, 2027
CLIA Number33D2117919
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2018
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Dmitry Volfson
Laboratory Phone(718) 489-3551
Laboratory LocationCity Medical Of Upper East Side PLLC2710 Hyland Boulevard, Staten Island, NY 10306
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
2710 HYLAN BLVD
STATEN ISLAND, NY 10306
Internal Medicine
2710 HYLAN BLVD
STATEN ISLAND, NY 10306

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 1760937445. It was assigned to this organization in the NPPES registry on August 23, 2016. The provider is also known as City Medical of New Dorp.

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

City Medical Of Upper East Side, PLLC is located at 2710 Hylan Blvd, Staten Island, NY 10306. The listed phone number is (718) 489-3551.

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 33D2117919) 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 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.