NPIMap

Organization Active NPI

Eastside Services (New Life Center), LLC

Doing business as Esnlc

  • Community/Behavioral Health Agency
  • Astoria, NY
National Provider Identifier
1275977027
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
00000000 Issued in NY
Legal business name
EASTSIDE SERVICES (NEW LIFE CENTER), LLC
Doing business as
Esnlc
Practice address
2425 23Rd St
2ND Floor
Astoria, NY 11102-2837
Phone
(917) 864-1233
NPI assigned
Apr 23, 2013
Last updated
Apr 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Mr. Sanyale Jones, MPH,MSNPI 1235452269
Title
Owner/President
Phone
(917) 864-1233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 00000000 NY Primary

Addresses

Primary practice location

2425 23Rd St
2ND Floor
Astoria, NY 11102-2837

Mailing address

2425 23Rd St
2ND Floor
Astoria, NY 11102-2837
Phone (917) 864-1233

Other identifiers 1

IdentifierTypeStateIssuer
00000000OtherNYSUBCONTRACT CLINICAL SERVICES

Other names 1

  • ESNLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1275977027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 23RD ST",
            "address_2": "2ND FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022837",
            "telephone_number": "917-864-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 23RD ST",
            "address_2": "2ND FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022837",
            "telephone_number": "917-864-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE SERVICES (NEW LIFE CENTER), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SANYALE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "917-864-1233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH,MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "00000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBCONTRACT CLINICAL SERVICES",
            "identifier": "00000000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESNLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.