Active NPI
Aaron Vito Bail, LMSW, CPRP
- Social Worker
- Ronkonkoma, NY
National Provider Identifier
1356832802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103641-1
- Practice address
- 939 Johnson Ave
Ronkonkoma, NY 11779 - Phone
- (631) 471-7242
- NPI assigned
- May 21, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 103641-1 | NY | Primary |
Addresses
Primary practice location
939 Johnson Ave
Ronkonkoma, NY 11779
Mailing address
1380 Roanoke Ave Ste 100
Riverhead, NY 11901-2035
Phone (631) 672-3566
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 |
|---|---|---|---|
| 103641-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Association for Mental Health and Wellness Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/77c2b089-5ae8-473f-98a4-de9173e168aa/
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Ronkonkoma, NY
- NPI 1578516738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1356832802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 ROANOKE AVE STE 100",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012035",
"telephone_number": "631-672-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 JOHNSON AVE",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "11779",
"telephone_number": "631-471-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIL",
"first_name": "AARON",
"middle_name": "VITO",
"credential": "LMSW, CPRP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-21",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "103641-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.