Jay A Bach

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011045 Issued in VA

Practice address

397 Bridge St
Brooklyn, NY 11201

Phone

(804) 294-2020

Fax

(804) 566-3488

NPI assigned

Nov 30, 2021

Last updated

Dec 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1447918198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 MIDLOTHIAN TPKE STE 184",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136500",
            "telephone_number": "804-294-2020",
            "fax_number": "804-566-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 BRIDGE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "804-294-2020",
            "fax_number": "804-566-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "JAY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jay@regensistoday.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14241 Midlothian Tpke Ste 184",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231136500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mia Bacchus, RN
• Pauline R Bacchus
• Tiffany R Bacchus, FNP
• Victoriya Bacchus
• Raymond S Bacci, R.PH
• Kayla Bach, OTR/L
• Savetrie Bachan, M.S CCC-SLP
• James Bachi
• Bachman Support Services, LLC
• Glenn Bachrach, PH. D.

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.