Active NPI
James Bitah, LCSW
- Social Worker
- Las Vegas, NM
National Provider Identifier
1679249759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- X-12107
- Practice address
- 700 Railroad Ave
Las Vegas, NM 87701-4533 - Phone
- (505) 425-2687
- Fax
- (505) 454-7198
- NPI assigned
- Aug 19, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | X-12107 | NM | Primary |
Addresses
Primary practice location
700 Railroad Ave
Las Vegas, NM 87701-4533
Mailing address
700 Railroad Ave
Las Vegas, NM 87701-4533
Phone (505) 425-2687
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL |
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 |
|---|---|---|---|
| X-12107 | NM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amistad Y Resolana | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Las Vegas, NM
- NPI 1063844363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1679249759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 RAILROAD AVE",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014533",
"telephone_number": "505-425-2687",
"fax_number": "505-454-7198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 RAILROAD AVE",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014533",
"telephone_number": "505-425-2687",
"fax_number": "505-454-7198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BITAH",
"first_name": "JAMES",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-19",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "X-12107",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "email",
"affiliation": "N",
"address_1": "700 Railroad Ave",
"city": "Las Vegas",
"state": "NM",
"country_code": "US",
"postal_code": "877014533",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.