Active NPI
Dennis Ortiz Sr., CASAC-T
- Addiction (Substance Use Disorder) Counselor
- Bronx, NY
National Provider Identifier
1003129768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 24834
- Practice address
- 1510 Waters PL
Bronx, NY 10461-2700 - Phone
- (718) 409-9420
- Fax
- (718) 828-4899
- NPI assigned
- Jul 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 24834 | NY | Primary |
Addresses
Primary practice location
1510 Waters PL
Bronx, NY 10461-2700
Mailing address
1510 Waters Place
Bronx, NY 10461
Phone (718) 409-9420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24834 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279843200000",
"number": "1003129768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 WATERS PLACE",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-409-9420",
"fax_number": "718-828-4899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 WATERS PL",
"city": "BRONX",
"state": "NY",
"postal_code": "104612700",
"telephone_number": "718-409-9420",
"fax_number": "718-828-4899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "DENNIS",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "CASAC-T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-22",
"last_updated": "2010-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "24834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.