Agape Life Health NP in Psychiatry and Family Health PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Staten Island, NY
NPI 1144183153 · NPPES record last updated Dec 5, 2025
Key facts
- NPI
- 1144183153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- AGAPE LIFE HEALTH NP IN PSYCHIATRY AND FAMILY HEALTH PLLC
- Practice address
- 3534 Amboy Rd Apt B2
Staten Island, NY 10306-2700 - Phone
- (718) 607-1516
- NPI assigned
- Dec 5, 2025
- Organization subpart
- No
Authorized official
- Name
- Emmanuel Ahipue
- Title
- Owner
- Phone
- (718) 607-1516
Practitioners 1
-
Emmanuel Ahipue, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260210001375 | NY | Part B Supplier - Clinic/Group Practice | 1254810229 |
Receives reassigned benefits from 1 practitioner Practice locations: Staten Island, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
3534 Amboy Rd Apt B2
Staten Island, NY 10306-2700
Mailing address
962 Kathleen Cir
Danville, PA 17821-6469
Other providers in Staten Island, NY
- Cyril Cheuck Afuh
- Uzma Afzal
- Ag Physical Therapy PC
- Amira Agamy
- Agape Life and Health, LLC
- Daniel Agarunov
- Anupma Agarwal
- Abiola A Agboola
- Ageless Men'S Health Holdings, PC Ca
- Rashi Aggarwal
All providers in Staten Island, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.