CITY MEDICAL OF UPPER EAST SIDE, PLLC
NPI 1417445784
Clinic/Center - Urgent Care in Ronkonkoma, NY
NPI Status: Active since April 23, 2018
Contact Information
600 PORTION RD
RONKONKOMA, NY
ZIP 11779
Phone: (631) 471-5900
Fax: (631) 471-5901
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 33D2077607
- 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 Ronkonkoma, New York operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1417445784 assigned on April 2018. 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
- 1417445784
- Provider Name
- CITY MEDICAL OF UPPER EAST SIDE, PLLC
- Entity Type
- Organization
- Location Address
- 600 PORTION RD RONKONKOMA, NY 11779
- Location Phone
- (631) 471-5900
- Location Fax
- (631) 471-5901
- 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
- 04-23-2018
- 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
- 33D2077607
- Facility Type
- Physician Office
- Certificate Effective Date
- September 15, 2016
- 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
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 4 | 1 | 7 | 4 | 4 | 5 | 7 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 8 | 4 | 10 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 8 + 4 + 1 + 0 + 7 + 1 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1417445784 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487740601 | STEVEN SALVATORE D.O. Individual | Emergency Medicine | 600 PORTION RD RONKONKOMA, NY 11779 (631) 471-5900 |
| 1326347709 | MISS SARAH PAGLIARULO RPA-C Individual | Physician Assistant | 600 PORTION RD RONKONKOMA, NY 11779 (631) 471-5900 |
| 1508041849 | MISS DHANNIE VORBE RPA-C Individual | Physician Assistant | 600 PORTION RD RONKONKOMA, NY 11779 (631) 471-5900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417445784, enumerated in the NPI registry as an "organization" on April 23, 2018
The provider is located at 600 Portion Rd Ronkonkoma, Ny 11779 and the phone number is (631) 471-5900
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
The provider's CLIA number is 33D2077607 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 April 23, 2018. 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.