CITY MEDICAL OF UPPER EAST SIDE, PLLC
NPI 1811364201
Clinic/Center - Urgent Care in Bronx, NY
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 33D2103532
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-26-2027
About CITY MEDICAL OF UPPER EAST SIDE, PLLC
This page provides the complete NPI Profile along with additional information for City Medical Of Upper East Side, Pllc, a provider established in Bronx, New York operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1811364201 assigned on September 2015. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Swahili Henry (Director Of Payment Solutions)
- NPI
- 1811364201 Verify this NPI
- Provider Name
- CITY MEDICAL OF UPPER EAST SIDE, PLLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 2146 BARTOW AVE BRONX, NY 10475
- Location Phone
- (516) 783-4600
- 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
- 09-01-2015
- Last Update Date
- 03-03-2025
- 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
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
- 33D2103532
- Facility Type
- Physician Office
- Certificate Effective Date
- May 14, 2019
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. DMITRY VOLFSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to City Medical Of Upper East Side, Pllc 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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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811364201, enumerated as an "organization" on September 01, 2015.
The provider is located at 2146 BARTOW AVE BRONX, NY 10475 and the phone number is (516) 783-4600.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.