JERRY ROSS CASAC 2
NPI 1184165755
Counselor - Addiction (Substance Use Disorder) in New York, NY

Active since March 16, 2017
2015 MADISON AVE, NEW YORK, NY 10035(212) 690-4625 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2024, Mar 16, 2017 (2 updates tracked since 2017).

About Jerry Ross Casac 2 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY ROSS CASAC 2 (NPI 1184165755) is an individual addiction (substance use disorder) provider in New York, New York and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1184165755
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJERRY ROSSCredential: CASAC 2
Location Address2015 MADISON AVENew York, NY 10035-1015
Mailing Address2015 Madison AveNew York, NY 10035-1015 · (212) 690-4625
Sole ProprietorNo
Enumeration DateMarch 16, 2017
Last NPPES UpdateMay 3, 20242 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
NPI 1184165755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2015 MADISON AVE, New York, NY 10035

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
2015 MADISON AVE
NEW YORK, NY 10035
Counselor (Addiction (Substance Use Disorder))
2015 MADISON AVE
NEW YORK, NY 10035
Counselor (Addiction (Substance Use Disorder))
2015 MADISON AVE
NEW YORK, NY 10035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Ross's NPI number?

The NPI number for Jerry Ross is 1184165755. It was assigned to this individual provider in the NPPES registry on March 16, 2017.

Where is Jerry Ross located?

Jerry Ross practices at 2015 Madison Ave, New York, NY 10035. The listed phone number is (212) 690-4625.

What is Jerry Ross's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jerry Ross was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.