CITY MEDICAL OF UPPER EAST SIDE, PLLC
NPI 1912760034
Clinic/Center in Roslyn Heights, NY

Q: What is City Medical Of Upper East Side, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since February 01, 2024CLIA 33D2186966 · Waiver

363 WILLIS AVE, ROSLYN HEIGHTS, NY 11577(516) 430-5780 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2025, Sep 11, 2024 (2 updates tracked since 2024).

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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 1912760034) is a healthcare organization registered as a clinic/center in Roslyn Heights, New York and active in the NPI registry since February 2024. 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

NPI1912760034

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCITY MEDICAL OF UPPER EAST SIDE, PLLC

Location Address363 WILLIS AVERoslyn Heights, NY 11577-2321

Mailing Address1345 Avenue Of The Americas Fl 8New York, NY 10105-0018 · (908) 588-3635

Phone(516) 430-5780

Organization SubpartYes

Authorized OfficialSwahili HenryDirector Of Payment Solutions · (908) 988-0428

Enumeration DateFebruary 1, 2024

Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration

NPPES CertifiedMarch 5, 2025

✔ NPI 1912760034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

363 WILLIS AVE, Roslyn Heights, NY 11577

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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 33D2186966

City Medical Of Upper East Side PLLC · Roslyn Heights, NY

Active · expires Mar 26, 2027

CLIA Number33D2186966

Laboratory TypePhysician Office

Certificate Effective DateJune 24, 2020

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDmitry Volfson

Laboratory Phone(516) 430-5780

Laboratory LocationCity Medical Of Upper East Side PLLC363 Willis Ave, Roslyn Heights, NY 11577

CLIA data matches this NPI record on: Address 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 1912760034. It was assigned to this organization in the NPPES registry on February 1, 2024.

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

City Medical Of Upper East Side, PLLC is located at 363 Willis Ave, Roslyn Heights, NY 11577. The listed phone number is (516) 430-5780.

What is City Medical Of Upper East Side, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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

Yes. A Certificate of Waiver (number 33D2186966) 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 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.