CITY MEDICAL OF UPPER EAST SIDE, PLLC
NPI 1992420533
Clinic/Center - Urgent Care in Staten Island, NY

Active since October 06, 2022CLIA 33D2270038 · Waiver
5788-5800 AMBOY ROAD, STATEN ISLAND, NY 10309(718) 571-9716 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 5, 2025, Sep 11, 2024, Jun 26, 2024 and 1 more (4 updates tracked since 2022).

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 1992420533), doing business as Citymd, is a healthcare organization registered as an urgent care in Staten Island, New York and active in the NPI registry since October 2022. 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

NPI1992420533
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCITY MEDICAL OF UPPER EAST SIDE, PLLC
Location Address5788-5800 AMBOY ROADStaten Island, NY 10309
Mailing Address1345 Avenue Of The Americas Fl 8New York, NY 10105-0018 · (908) 588-3635
Organization SubpartYes
Authorized OfficialSwahili HenryDirector Of Payment Solutions · (908) 988-0428
Enumeration DateOctober 6, 2022
Last NPPES UpdateMarch 5, 20254 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1992420533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
5788-5800 AMBOY ROAD, Staten Island, NY 10309

Other Names 1

Doing Business AsCitymd

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

City Medical Of Upper East Side, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

593

Medicare enrollment records show 593 clinicians reassign Medicare billing to City Medical Of Upper East Side, PLLC, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 35

Emergency Medicine214
Family Practice170
Internal Medicine59
Diagnostic Radiology20
Nurse Practitioner20
Pathology17
Gastroenterology13
Orthopedic Surgery9
27 other specialties71

Nearest to this location (20)

See all 593
Internal Medicine
NPI 1770584278
530 NEW BRUNSWICK AVE
Perth Amboy, NJ 08861
(732) 442-3700
✔ PECOS✔ Accepts Medicare4.3 mi
Internal Medicine
NPI 1891947412
2710 HYLAN BLVD
Staten Island, NY 10306
(718) 489-3551
✔ PECOS✔ Accepts Medicare5.3 mi
Emergency Medicine
NPI 1346551975
475 SEAVIEW AVE
Staten Island, NY 10305
(718) 226-1008
✔ PECOS✔ Accepts Medicare7.3 mi
Family Practice
NPI 1861678278
7 REMSEN ST 1ST FLOOR
Staten Island, NY 10304
(718) 887-8566
✔ PECOS✔ Accepts Medicare7.4 mi
Internal Medicine
NPI 1730347949
11 RALPH PL STE 105
Staten Island, NY 10304
(845) 514-4278
✔ PECOS7.9 mi
General Surgery
NPI 1093974271
124 MCCLEAN AVE
Staten Island, NY 10305
(718) 876-8080
✔ PECOS✔ Accepts Medicare8.7 mi
Emergency Medicine
NPI 1184651655
1255 RARITAN RD STE F4B
Clark, NJ 07066
(848) 206-0072
✔ PECOS✔ Accepts Medicare9.2 mi
Emergency Medicine
NPI 1306804190
145 FOREST AVE
Staten Island, NY 10301
(585) 469-4880
✔ PECOS✔ Accepts Medicare9.2 mi
Family Practice
NPI 1194913681
100 COMMERCE PL
Clark, NJ 07066
(732) 499-0606
✔ PECOS✔ Accepts Medicare9.3 mi
Family Practice
NPI 1760526149
904 BAYONNE CROSSING WAY
Bayonne, NJ 07002
(551) 497-5675
✔ PECOS✔ Accepts Medicare9.4 mi
Family Practice
NPI 1629211297
904 BAYONNE CROSSING WAY
Bayonne, NJ 07002
(551) 497-5675
✔ PECOS✔ Accepts Medicare10 mi
Emergency Medicine
NPI 1144249087
1000 GALLOPING HILL RD UNION HOSPITAL
Union, NJ 07083
(908) 687-1900
✔ PECOS✔ Accepts Medicare11 mi
Internal Medicine
NPI 1598801573
369 93RD ST
Brooklyn, NY 11209
(718) 680-6000
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1902553043
626 SHEEPSHEAD BAY RD
Brooklyn, NY 11224
(718) 215-7340
✔ PECOS✔ Accepts Medicare12 mi
Orthopedic Surgery
NPI 1750348447
574 SPRINGFIELD AVE
Westfield, NJ 07090
(908) 232-7797
✔ PECOS✔ Accepts Medicare13 mi
Clinical Social Worker
NPI 1730513474
671 HOES LN W
Piscataway, NJ 08854
(732) 235-3289
✔ PECOS✔ Accepts Medicare14 mi
Endocrinology
NPI 1447240718
1 DIAMOND HILL RD SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
(908) 273-4300
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1346405057
1 DIAMOND HILL RD SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
(908) 277-8673
✔ PECOS✔ Accepts Medicare15 mi
Psychiatry
NPI 1164866547
1 DIAMOND HILL RD
Berkeley Heights, NJ 07922
(908) 508-8909
✔ PECOS✔ Accepts Medicare15 mi
Pathology
NPI 1285944652
1 DIAMOND HILL RD
Berkeley Heights, NJ 07922
(908) 277-8699
✔ PECOS✔ Accepts Medicare15 mi
See all 593 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D2270038

City Medical Of Upper East Side PLLC · Staten Island, NY
Active · expires Mar 26, 2027
CLIA Number33D2270038
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Daniel Frogel
Laboratory Phone(718) 571-9716
Laboratory LocationCity Medical Of Upper East Side PLLC5788-5800 Amboy Rd, Staten Island, NY 10309
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 1992420533. It was assigned to this organization in the NPPES registry on October 6, 2022. The provider is doing business as CityMD.

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

City Medical Of Upper East Side, PLLC is located at 5788-5800 Amboy Road, Staten Island, NY 10309. The listed phone number is (718) 571-9716.

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.

Is City Medical Of Upper East Side, PLLC enrolled in Medicare?

Yes. City Medical Of Upper East Side, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through City Medical Of Upper East Side, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 593 clinicians in 35 Medicare specialties reassign their Medicare billing to City Medical Of Upper East Side, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (214), Family Practice (170) and Internal Medicine (59). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 33D2270038) 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 20 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.