Jay Bleeker

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

603041 Issued in NY

Practice address

125 Finney Blvd
Malone, NY 12953-1067

Phone

(518) 481-8160

Fax

(518) 481-8161

NPI assigned

Mar 28, 2017

Last updated

Feb 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Citizen Advocates, Inc

  dba North Star Behavioral Health Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Malone, NY
  • NPI 1780619064
  NPD (past)
• Clinton County

  dba Clinton County Health Department

  • Clinic/Center
  • Plattsburgh, NY
  • NPI 1114979945
  NPD (past)
• Clinton County

  dba Mental Health & Addiction Services

  • Mental Health Counselor
  • Plattsburgh, NY
  • NPI 1164465902
  NPD (past)

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1649702879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 OLIVETTI PL",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FINNEY BLVD",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531067",
            "telephone_number": "518-481-8160",
            "fax_number": "518-481-8161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Park St",
            "address_purpose": "LOCATION",
            "city": "Ogdensburg",
            "state": "NY",
            "postal_code": "136693911",
            "country_code": "US",
            "telephone_number": "315-713-9090",
            "fax_number": "315-713-9330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEEKER",
        "first_name": "JAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "603041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjni Bhagat, MD
• Nathan Bigtree, PSS
• Kayla Bink, PEER SUPPORT SPEC.
• Joseph Bitetto
• Rose Elizabeth Blacker, LPN
• Rebekah Joy Blow, RN
• Simmone Bombard
• Orman David Bomyea, CASAC, CPP
• Briana M Bond, LPN
• Denielle Lynn Bonesteel, COTA

• Registered Nurse in Malone, NY
• Providers in Malone, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.