Organization Active NPI

Eprine Community Services Ny

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
National Provider Identifier
1487278925
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EPRINE COMMUNITY SERVICES NY
Practice address
1650 Eastern Pkwy Ste 401
Brooklyn, NY 11233-4804
Phone
(718) 255-5946
Fax
(347) 577-9445
NPI assigned
Jun 1, 2020
Last updated
Mar 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Mr. Luis Mota
Title
Ceo
Phone
(718) 255-5946

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1650 Eastern Pkwy Ste 401
Brooklyn, NY 11233-4804

Mailing address

1650 Eastern Pkwy Ste 401
Brooklyn, NY 11233-4804
Phone (718) 255-5946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240417002512 NY Part B Supplier - Clinic/Group Practice 8628417169 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1650 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 255-5946

1650 Eastern Pkwy
Ste 400
Brooklyn, NY 11233

1650 Eastern Pkwy
Ste 400403
Brooklyn, NY 11233
Phone (607) 323-0771

1650 Eastern Pkwy
Ste 401
Brooklyn, NY 11233
Phone (718) 255-5946

Practitioners & affiliated clinicians

Practitioners 7

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": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1487278925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 EASTERN PKWY STE 401",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334804",
            "telephone_number": "718-255-5946",
            "fax_number": "347-577-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 EASTERN PKWY STE 401",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334804",
            "telephone_number": "718-255-5946",
            "fax_number": "347-577-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPRINE COMMUNITY SERVICES NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "MOTA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-255-5946",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.