Active NPI
Aspire365 New York LLC
- Addiction Medicine (Preventive Medicine) Physician
- New York, NY
National Provider Identifier
1154039196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- Legal business name
- ASPIRE365 NEW YORK LLC
- Practice address
- 26 Broadway Ste 934-C54
New York, NY 10004-1703 - Phone
- (385) 352-9696
- Fax
- (385) 287-1035
- NPI assigned
- Nov 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zach Jenson
- Title
- Ceo
- Phone
- (385) 352-9746
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | Primary | ||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X |
Addresses
Primary practice location
26 Broadway Ste 934-C54
New York, NY 10004-1703
Mailing address
9350 S 150 E Ste 320
Sandy, UT 84070-2707
Phone (385) 352-9696
National Provider Directory
National Provider DirectoryLocations
26 Broadway
Ste 934
New York, NY 10004
Phone (516) 303-2790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728864000000",
"number": "1154039196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9350 S 150 E STE 320",
"city": "SANDY",
"state": "UT",
"postal_code": "840702707",
"telephone_number": "385-352-9696",
"fax_number": "385-287-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 BROADWAY STE 934-C54",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100041703",
"telephone_number": "385-352-9696",
"fax_number": "385-287-1035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPIRE365 NEW YORK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-08",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A",
"authorized_official_last_name": "JENSON",
"authorized_official_first_name": "ZACH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "385-352-9746"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Gudrun Aspelund, M.D.
- Chaya Aspir, LCSW
- Aspira Counseling and Psychotherapy PLLC
- Aspire Center for Neurogenic & Orthopedic Rehabilitation, LLP
- Aspire Physical Therapy and Fitness, P.C.
- Lawrence Asprec, M.D.
- Christopher Aspromonte, DO
- Salvatore Michael Aspromonte, MD
- Asqual Getaneh M.D., P.C.
- Ashwin V. Asrani, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.