JOSE L. MEDINA CASAC
NPI 1265801286
Counselor - Addiction (Substance Use Disorder) in Bronx, NY

Active since September 21, 2015
1285 FULTON AVE, BRONX, NY 10456(718) 518-3700 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jose L. Medina Casac NPPES

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

JOSE L. MEDINA CASAC (NPI 1265801286) is an individual addiction (substance use disorder) provider in Bronx, New York, licensed in New York (17940) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1265801286
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOSE L. MEDINACredential: CASAC
Location Address1285 FULTON AVEBronx, NY 10456-3401
Mailing Address1285 Fulton AveBronx, NY 10456-3401 · (718) 518-3700
Sole ProprietorNo
Enumeration DateSeptember 21, 2015
NPI 1265801286 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
License Licensed in NY · 17940
1285 FULTON AVE, Bronx, NY 10456

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
1285 FULTON AVE
BRONX, NY 10456
Psychologist
1285 FULTON AVE
BRONX, NY 10456
Social Worker
1285 FULTON AVE
BRONX, NY 10456
Family Medicine
1285 FULTON AVE
BRONX, NY 10456
Music Therapist
1285 FULTON AVE
BRONX, NY 10456
Clinic/Center (Mental Health (Including Community Mental Health Center))
1285 FULTON AVE
BRONX, NY 10456
Social Worker
1285 FULTON AVE
BRONX, NY 10456
Social Worker (Clinical)
1285 FULTON AVE, LIFE RECOVERY CENTER BRONX LEBANON CENTER
BRONX, NY 10456

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 Jose Medina's NPI number?

The NPI number for Jose Medina is 1265801286. It was assigned to this individual provider in the NPPES registry on September 21, 2015.

Where is Jose Medina located?

Jose Medina practices at 1285 Fulton Ave, Bronx, NY 10456. The listed phone number is (718) 518-3700.

What is Jose Medina'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 Jose Medina was last updated on September 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.