CITY MEDICAL OF UPPER EAST SIDE, PLLC
NPI 1396452660
Clinic/Center - Urgent Care in Brooklyn, NY

NPI Status: Active since November 04, 2022

Contact Information

461 FULTON ST
BROOKLYN, NY
ZIP 11201
Phone: (718) 571-9418

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 33D2273893
  • 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 Brooklyn, New York operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1396452660 assigned on November 2022. 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
1396452660
Provider Name
CITY MEDICAL OF UPPER EAST SIDE, PLLC
Entity Type
Organization
Location Address
461 FULTON ST BROOKLYN, NY 11201
Location Phone
(718) 571-9418
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
11-04-2022
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
33D2273893
Facility Type
Physician Office
Certificate Effective Date
December 20, 2022
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.

Reviews for CITY MEDICAL OF UPPER EAST SIDE, PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396452660
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186854612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 8 + 5 + 4 + 6 + 1 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1396452660 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396452660, enumerated in the NPI registry as an "organization" on November 04, 2022

The provider is located at 461 Fulton St Brooklyn, Ny 11201 and the phone number is (718) 571-9418

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

The provider's CLIA number is 33D2273893 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on November 04, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.