Active NPI
James Bishop Jr.
- Addiction (Substance Use Disorder) Counselor
- Kew Gardens, NY
National Provider Identifier
1548786288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 29895
- Practice address
- 8002 Kew Gardens Rd Ste 704
Kew Gardens, NY 11415-3607 - Phone
- (718) 520-1513
- NPI assigned
- Aug 15, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 099587 | NY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 29895 | NY | Primary |
Addresses
Primary practice location
8002 Kew Gardens Rd Ste 704
Kew Gardens, NY 11415-3607
Mailing address
111 W 126TH St Apt 3a
New York, NY 10027-4496
Other practice location 1
1366 Inwood Ave 1st Floor
Bronx, NY 10452
Phone (646) 401-9700 ext. 2602
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 |
|---|---|---|---|
| 29895 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 099587 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arms Acres, Inc. | Current | Accepting new patients | |
| Arms Acres Inc | Past | Accepting new patients |
Locations
8002 Kew Gardens Rd
Ste 704
Kew Gardens, NY 11415
Phone (718) 520-1513
79 Glenridge Rd
Scotia, NY 12302
Phone (518) 952-8142
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Jamaica, NY
- NPI 1265020259
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Carmel, NY
- NPI 1235184227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1548786288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W 126TH ST APT 3A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8002 KEW GARDENS RD STE 704",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114153607",
"telephone_number": "718-520-1513"
}
],
"practiceLocations": [
{
"address_1": "1366 Inwood Ave 1st Floor",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "10452",
"country_code": "US",
"telephone_number": "646-401-9700 x2602",
"fax_number": "646-401-9701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISHOP",
"first_name": "JAMES",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-15",
"last_updated": "2022-07-21",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "099587",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "29895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kew Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.