CITY MEDICAL OF UPPER EAST SIDE, PLLC
NPI 1902425192
Clinic/Center - Urgent Care in Bronx, NY

NPI Status: Active since April 09, 2020

Contact Information

3494 JEROME AVE
BRONX, NY
ZIP 10467
Phone: (718) 571-9282

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 33D2192813
  • 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 1902425192 assigned on April 2020. 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
1902425192
Provider Name
CITY MEDICAL OF UPPER EAST SIDE, PLLC
Entity Type
Organization
Location Address
3494 JEROME AVE BRONX, NY 10467
Location Phone
(718) 571-9282
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
04-09-2020
Last Update Date
03-05-2025
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SWAHILI HENRY

Authorized Official Title
DIRECTOR OF PAYMENT SOLUTIONS
Authorized Official Phone
(908) 988-0428

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
33D2192813
Facility Type
Physician Office
Certificate Effective Date
September 15, 2020
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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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902425192, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 8 + 2 + 1 + 0 + 1 + 1 + 8 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1902425192.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902425192, enumerated as an "organization" on April 09, 2020.

The provider is located at 3494 JEROME AVE BRONX, NY 10467 and the phone number is (718) 571-9282.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.