Organization Active NPI

Easylife Supply LLC

  • Clinical Medical Laboratory
  • Brooklyn, NY
National Provider Identifier
1376458372
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EASYLIFE SUPPLY LLC
Practice address
1659 W 4TH St # 2F
Brooklyn, NY 11223-1541
Phone
(332) 786-3731
NPI assigned
Aug 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Thomas Ebert
Title
Founder
Phone
(332) 786-3731

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1659 W 4TH St # 2F
Brooklyn, NY 11223-1541

Mailing address

1659 W 4TH St # 2F
Brooklyn, NY 11223-1541

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1376458372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 W 4TH ST # 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 W 4TH ST # 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231541",
            "telephone_number": "332-786-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASYLIFE SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "EBERT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "332-786-3731"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.