Individual provider Active NPI

James Bitah, LCSW

  • Social Worker
  • Las Vegas, NM
National Provider Identifier
1679249759
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
X-12107 Issued in NM
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

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL email

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
X-12107NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amistad Y Resolana CurrentSince Aug 28, 2021 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.

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.

Verify at the official NPI Registry.