SUMMIT HEALTH
NPI 1790412443
Clinic/Center - Urgent Care in Bayside, NY
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 33D2104227
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-29-2027
About SUMMIT HEALTH
This page provides the complete NPI Profile along with additional information for Summit Health, a provider established in Bayside, New York operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1790412443 assigned on August 2022. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Summit Health. The authorized official of this NPI record is Swahili Henry (Director Of Payment Solutions)
- NPI
- 1790412443 Verify this NPI
- Provider Legal Name
- CITY MEDICAL OF UPPER EAST SIDE, PLLC
- Other Organization Name
- SUMMIT HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 21422 73RD AVE BAYSIDE, NY 11364
- Location Phone
- (718) 347-3500
- Mailing Address
- 1345 AVENUE OF THE AMERICAS FL 8 NEW YORK, NY 10105
- Mailing Phone
- (908) 588-3635
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-03-2022
- Last Update Date
- 09-11-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2104227
- Facility Type
- Physician Office
- Certificate Effective Date
- October 30, 2025
- Certificate Expiration Date
- October 29, 2027
- Laboratory Director
- DR. DANIEL FROGEL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Summit Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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The following 7 providers are registered at the same or a nearby location.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790412443, enumerated as an "organization" on August 03, 2022.
The provider is located at 21422 73RD AVE BAYSIDE, NY 11364 and the phone number is (718) 347-3500.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
