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HARLEM EAST LIFE PLAN
NPI 1154767010
Clinic/Center - Methadone in New York, NY

Active since May 20, 2013CLIA 33D2246666 · Waiver
2369 2ND AVE, NEW YORK, NY 10035(212) 876-2300 Get Directions Write a Review

NPPES record last updated: May 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Harlem East Life Plan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARLEM EAST LIFE PLAN (NPI 1154767010) is a healthcare organization registered as a methadone in New York, New York and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Joanne King, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1154767010
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameHARLEM EAST LIFE PLAN
Location Address2369 2ND AVENew York, NY 10035-3108
Mailing Address2369 2nd AveNew York, NY 10035-3108
Phone(212) 876-2300
Organization SubpartNo
Authorized OfficialJoanne KingExecutive Director · (212) 867-2300
Enumeration DateMay 20, 2013
✔ NPI 1154767010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in NY · 639361-1
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
2369 2ND AVE, New York, NY 10035
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2246666

Ses Operating Corp Dba Harlem East Life Plan · New York, NY
Active · expires Mar 26, 2027
CLIA Number33D2246666
Laboratory TypeHealth Main. Organization
Certificate Effective DateDecember 28, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Fernando Borrego
Laboratory Phone(212) 846-2300
Laboratory LocationSes Operating Corp Dba Harlem East Life Plan2369 Second Avenue, New York, NY 10035
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIAN SHAFIR-LIDERGOT CASAC-T
Counselor (Addiction (Substance Use Disorder))
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300
QUANEISHA BOONE BA
Social Worker
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300
KATHARINE FRANCES IRVIN LMSW
Social Worker
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300
REBECCA SEGARRA
Licensed Practical Nurse
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300
ALISON AGVENT
Counselor (Addiction (Substance Use Disorder))
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300
MS. TAMIKA NICOLE LONDON
Counselor (Mental Health)
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300
FRANCESCA CESTRA CASAC-T
Counselor (Addiction (Substance Use Disorder))
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300
AMANI QUINTESSENCE HENDERSON
Counselor (Addiction (Substance Use Disorder))
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harlem East Life Plan's NPI number?

The NPI number for Harlem East Life Plan is 1154767010. It was assigned to this organization in the NPPES registry on May 20, 2013.

Where is Harlem East Life Plan located?

Harlem East Life Plan is located at 2369 2nd Ave, New York, NY 10035. The listed phone number is (212) 876-2300.

What is Harlem East Life Plan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Harlem East Life Plan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2246666) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Harlem East Life Plan was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.