Individual provider Active NPI

Jared J Dowd

  • Addiction (Substance Use Disorder) Counselor
  • North Babylon, NY
National Provider Identifier
1043845654
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0284443 Issued in NY
Practice address
281 Phelps LN
North Babylon, NY 11703-4045
Phone
(631) 422-7676
NPI assigned
Mar 4, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0284443 NY Primary

Addresses

Primary practice location

281 Phelps LN
North Babylon, NY 11703-4045

Mailing address

928 N Indiana Ave
Lindenhurst, NY 11757-2131
Phone (631) 482-0995

Other identifiers 1

IdentifierTypeStateIssuer
0284443OtherNYNEW YORK STATE

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL bbartoszak@townofbabylon.com Direct Town of Babylon - Division of Drug and Alcohol Services

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

LicenseStateTypeSpecialty
0284443NYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Town of Babylon - Division of Drug and Alcohol Services PastSince Mar 9, 2020 Accepting new patients

Organizations & group practices 1

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": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1043845654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 N INDIANA AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572131",
            "telephone_number": "631-482-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 PHELPS LN",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034045",
            "telephone_number": "631-422-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWD",
        "first_name": "JARED",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "0284443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE",
            "identifier": "0284443",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "bbartoszak@townofbabylon.com",
            "affiliation": "Y",
            "endpointDescription": "practice location",
            "affiliationName": "Town of Babylon - Division of Drug and Alcohol Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "workemail",
            "address_1": "281 Phelps Ln",
            "city": "North Babylon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117034045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.