Individual provider Active NPI

James Anthony Aguirri, LCSW

  • Clinical Social Worker
  • North Babylon, NY
National Provider Identifier
1992886774
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074528-1 Issued in NY
Practice address
38 Cherubina LN
North Babylon, NY 11703-1706
Phone
(631) 662-1589
NPI assigned
Oct 18, 2006
Last updated
Jul 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 074528-1 NY Primary

Addresses

Primary practice location

38 Cherubina LN
North Babylon, NY 11703-1706

Mailing address

38 Cherubina LN
North Babylon, NY 11703-1706
Phone (631) 662-1589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625000142 NY Practitioner - Clinical Social Worker 1153307798 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074528-1NYMDClinical Social Worker
059615NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Select Healthcare, Inc. CurrentSince Dec 27, 2016 Accepting new patients
New Horizon Counseling Center Inc CurrentSince Mar 1, 2022 Accepting new patients
New Yaork State Association for Retarded Children Inc - Nassau County Past Accepting new patients

Locations

159 Carleton Ave
Central Islip, NY 11722
Phone (631) 439-4300

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

250 Marcus Blvd
Hauppauge, NY 11788
Phone (631) 439-4300

33 Terryville Rd
Port Jefferson Station, NY 11776
Phone (631) 474-5100

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 738-6800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCJFAD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1992886774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CHERUBINA LN",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031706",
            "telephone_number": "631-662-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CHERUBINA LN",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031706",
            "telephone_number": "631-662-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRI",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074528-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Babylon, NY

Sources for this page

Verify at the official NPI Registry.