Active NPI
Kenneth Christopher Bishop, LMSW
- Social Worker
- Bronx, NY
National Provider Identifier
1609410943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 107488
- Practice address
- 329 E 149TH St FL 4
Bronx, NY 10451-5626 - Phone
- (718) 769-2698
- NPI assigned
- Oct 30, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Social Worker | 104100000X | 107488 | Primary |
Addresses
Primary practice location
329 E 149TH St FL 4
Bronx, NY 10451-5626
Mailing address
57 Lexington Ave
Oyster Bay, NY 11771-2119
Phone (516) 469-5815
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
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1609410943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 LEXINGTON AVE",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117712119",
"telephone_number": "516-469-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 E 149TH ST FL 4",
"city": "BRONX",
"state": "NY",
"postal_code": "104515626",
"telephone_number": "718-769-2698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "KENNETH",
"middle_name": "CHRISTOPHER",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-30",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": "107488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.