Individual provider Active NPI

Nigh Jamal Bienkowski

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1902384829
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
080922 Issued in NY
Practice address
1301 5TH Ave
New York, NY 10029-3119
Phone
(212) 426-3400
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 080922 NY Primary

Addresses

Primary practice location

1301 5TH Ave
New York, NY 10029-3119

Mailing address

1301 5TH Ave
New York, NY 10029-3119
Phone (646) 382-7486

Other practice location 1

104 Cherry St
Jersey City, NJ 07305-4862
Phone (646) 382-7486

Other names 1

  • Nigh Jamal Manassah Former name

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
080922NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1902384829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293119",
            "telephone_number": "646-382-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293119",
            "telephone_number": "212-426-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073054862",
            "country_code": "US",
            "telephone_number": "646-382-7486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIENKOWSKI",
        "first_name": "NIGH",
        "middle_name": "JAMAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "080922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIGH",
            "last_name": "MANASSAH",
            "middle_name": "JAMAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.