Organization Active NPI

Lower Eastside Service Center, Inc.

Doing business as LESC Resilient Recovery

  • Methadone Clinic
  • New York, NY
National Provider Identifier
1063637817
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
00245689 Issued in NY
Legal business name
LOWER EASTSIDE SERVICE CENTER, INC.
Doing business as
LESC Resilient Recovery
Practice address
46 E Broadway
New York, NY 10002-6803
Phone
(212) 343-3533
NPI assigned
Apr 16, 2007
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Valerie C Walters
Title
Ceo
Phone
(212) 566-7810

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 00245689 NY
Methadone Clinic 261QM2800X 00245689 NY Primary
Primary Care Clinic/Center 261QP2300X 00245689 NY
Substance Abuse Rehabilitation Facility 324500000X 00245689 NY
Community/Behavioral Health Agency 251S00000X 00245689 NY

Addresses

Primary practice location

46 E Broadway
New York, NY 10002-6803

Mailing address

80 Maiden LN FL 3
New York, NY 10038-4940
Phone (212) 566-5372

Other practice location 1

62 E Broadway
New York, NY 10002-6844
Phone (212) 343-3520

Other practice location 2

7 Gouverneur Slip East
New York, NY 10002
Phone (212) 566-6820

Other identifiers 1

IdentifierTypeStateIssuer
00245689MedicaidNY

Other names 1

  • LESC Resilient Recovery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Opioid treatment program
Medicare-enrolled since Feb 9, 2026

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060317000325 NY Part B Supplier - Clinic/Group Practice 4880586080 Receives reassigned benefits from 3 practitioners
Practice locations: New York, NY
O20200312000482 NY Part B Supplier - Opioid Treatment Program (Otp) 4880586080 Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2282000Lower Eastside Service Center Su Casa7 Gouverneur Slip East, New York, NY 10002Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

80 Maiden Ln
Fl 2
New York, NY 10038
Phone (929) 475-1011

80 Maiden Ln
Fl 3
New York, NY 10038

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1063637817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MAIDEN LN FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384940",
            "telephone_number": "212-566-5372",
            "fax_number": "347-474-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026803",
            "telephone_number": "212-343-3533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 E Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100026844",
            "country_code": "US",
            "telephone_number": "212-343-3520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Gouverneur Slip East",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10002",
            "country_code": "US",
            "telephone_number": "212-566-6820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOWER EASTSIDE SERVICE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-566-7810"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "00245689",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NY",
            "license": "00245689",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "00245689",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": "00245689",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "00245689",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245689",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LESC Resilient Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.