CITY MEDICAL OF UPPER EAST SIDE, PLLC
NPI 1619465721
Clinic/Center - Urgent Care in Astoria, NY

NPI Status: Active since April 24, 2018

Contact Information

2248 31ST ST
ASTORIA, NY
ZIP 11105
Phone: (718) 571-9192
Fax: (718) 571-9204

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 33D2151053
  • 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 Astoria, New York operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1619465721 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 provider's . The authorized official of this NPI record is Swahili Henry (Director Of Payment Solutions)

NPI
1619465721
Provider Legal Name
CITY MEDICAL OF UPPER EAST SIDE, PLLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2248 31ST ST ASTORIA, NY 11105
Location Phone
(718) 571-9192
Location Fax
(718) 571-9204
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
04-24-2018
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
33D2151053
Facility Type
Physician Office
Certificate Effective Date
July 10, 2018
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.
1619465721
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2629861074
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 8 + 6 + 1 + 0 + 7 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1619465721 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972175024DR. STEPHANIE TITUANA OD
Individual
Optometrist2248 31ST ST
ASTORIA, NY 11105
(718) 267-1333
1902169832DR. LYNN S CHUNG MD
Individual
Family Medicine2248 31ST ST
ASTORIA, NY 11105
(516) 453-0435

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619465721, enumerated in the NPI registry as an "organization" on April 24, 2018

The provider is located at 2248 31st St Astoria, Ny 11105 and the phone number is (718) 571-9192

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

The provider's CLIA number is 33D2151053 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 24, 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].
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