Individual provider Active NPI

James Bishop Jr.

  • Addiction (Substance Use Disorder) Counselor
  • Kew Gardens, NY
National Provider Identifier
1548786288
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
29895 Issued in NY
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
29895NYMDAddiction (Substance Use Disorder) Counselor
099587NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arms Acres, Inc. CurrentSince Jan 17, 2021 Accepting new patients
Arms Acres Inc PastSince Jan 17, 2021 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.

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.

Verify at the official NPI Registry.