Active NPI
Jaime Luis Betancourt, DNP, MPH, APN
- Family Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01039400
- 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
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ01039400 | NJ | Primary |
| Family Nurse Practitioner | 363LF0000X | 344643 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 407386 | NY |
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 Bldg 5th
Englewood, NJ 07631-1808
Phone (201) 568-5250
Other practice location 2
201 Washington St
Newark, NJ 07102-2922
Phone (862) 240-1461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
350 Engle St
6TH Floor Berrie
Englewood, NJ 07631-1808
Phone (201) 608-2800
Hospital & facility affiliations
- Englewood Hospital and Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 407386 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Medical Associates of Englewood, PC | Current | Accepting new patients |
Locations
350 Engle St
Fl 6
Englewood, NJ 07631
Phone (201) 568-5250
350 Engle St
Bldg 5TH
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
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": "1765756800000",
"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 Bldg 5th",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "NJ",
"postal_code": "076311808",
"country_code": "US",
"telephone_number": "201-568-5250",
"fax_number": "201-568-5358",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 Washington St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071022922",
"country_code": "US",
"telephone_number": "862-240-1461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BETANCOURT",
"first_name": "JAIME",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "DNP, MPH, APN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-20",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01039400",
"primary": true
},
{
"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": "NY",
"license": "407386",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.