Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Ross, CASAC2

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184165755

Jerry Ross, CASAC2 is an Addiction (Substance Use Disorder) Counselor in New York, New York. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

2015 Madison Ave
New York, NY 10035-1015
Phone: (212) 690-4625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1184165755
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC2
Sole proprietorNo
NPI enumeratedMarch 16, 2017
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024

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