Individual provider Active NPI

Nelcie Ecclesiastre, ARNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1679001341
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343935 Issued in NY
Practice address
6010 Bay Pkwy Ste 901
Brooklyn, NY 11204-6081
Phone
(718) 238-2100
Fax
(718) 748-0863
NPI assigned
May 25, 2017
Last updated
Sep 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP3204882 FL
Family Nurse Practitioner 363LF0000X 343935 NY Primary

Addresses

Primary practice location

6010 Bay Pkwy Ste 901
Brooklyn, NY 11204-6081

Mailing address

6010 Bay Pkwy Ste 901
Brooklyn, NY 11204-6081
Phone (718) 238-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190225002233 NY Practitioner - Nurse Practitioner 0941573703 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Health PC CurrentSince Nov 2, 2022 Accepting new patients
Care Connect Medical P.C. CurrentSince Sep 1, 2023 Accepting new patients
Parcare Community Health Network Inc CurrentSince Feb 11, 2019 Accepting new patients
Parcare Community Health Network Inc CurrentSince Feb 11, 2019 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1555 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 307-5460

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

6010 Bay Pkwy
Fl 6
Brooklyn, NY 11204
Phone (718) 236-7520

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100

6010 Bay Pkwy
Ste 903
Brooklyn, NY 11204
Phone (646) 699-1322

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400

33 Downtown Dr
Fl 3
Monsey, NY 10952
Phone (201) 357-1520

89 S Route 9W
West Haverstraw, NY 10993
Phone (845) 426-6156

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1679001341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY STE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046081",
            "telephone_number": "718-238-2100",
            "fax_number": "718-748-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY STE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046081",
            "telephone_number": "718-238-2100",
            "fax_number": "718-748-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECCLESIASTRE",
        "first_name": "NELCIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3204882",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.