Individual provider Active NPI

Jaime Luis Betancourt, DNP, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1013568153
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
407386 Issued in NY
Practice address
138 W 25TH St FL 11
New York, NY 10001-7405
Phone
(646) 926-5758
Fax
(646) 775-4142
NPI assigned
Sep 20, 2019
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11046826 FL
Family Nurse Practitioner 363LF0000X 344643 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01039400 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407386 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-5617 HI

Addresses

Primary practice location

138 W 25TH St FL 11
New York, NY 10001-7405

Mailing address

500 Paterson Plank Rd # 31043
Union City, NJ 07087-3416
Phone (732) 491-1875

Other practice location 1

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 894-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191218001746 NY Practitioner - Nurse Practitioner 8820422272 Reassigns benefits to 1 organization
I20211021000224 NJ Practitioner - Nurse Practitioner 8820422272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

350 Engle St
6TH Floor Berrie
Englewood, NJ 07631-1808
Phone (201) 608-2800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
344643NYMDFamily Nurse Practitioner
APRN11046826FLMDPsychiatric/Mental Health Nurse Practitioner
APRN-5617HIMDPsychiatric/Mental Health Nurse Practitioner
26NJ01039400NJMDPsychiatric/Mental Health Nurse Practitioner
407386NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Nov 15, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Nov 15, 2019 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Sep 7, 2021 Accepting new patients

Locations

350 Engle St
Bldg 5TH
Englewood, NJ 07631
Phone (201) 568-5250

350 Engle St
Fl 6
Englewood, NJ 07631
Phone (201) 568-5250

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

111 E 210th St
Bronx, NY 10467

111 E 210th St
#100
Bronx, NY 10467
Phone (718) 920-4057

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1013568153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PATERSON PLANK RD # 31043",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873416",
            "telephone_number": "732-491-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W 25TH ST FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017405",
            "telephone_number": "646-926-5758",
            "fax_number": "646-775-4142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Engle St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076311808",
            "country_code": "US",
            "telephone_number": "201-894-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "JAIME",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DNP, APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11046826",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344643",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01039400",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407386",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-5617",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.