Moise Kenneth Belizaire, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F402640-1 Issued in NY

Practice address

140 Old Orangeburg Rd
Orangeburg, NY 10962-1157

Phone

(845) 359-1000

NPI assigned

Jul 17, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alleyvalley LLCGroup PAC ID 2961814660, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4

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.

• Alleyvalley LLC

  • Adult Mental Health Clinic/Center
  • Spring Valley, NY
  • NPI 1013417708
  Medicare reassignment Care Compare group NPD
• Anew Horizon NP in Psychiatry PC

  • Psychiatry Physician
  • Haverstraw, NY
  • NPI 1023996634
  Medicare reassignment NPD Authorized official
• Montefiore Nyack Hospital

  • Neurology Physician
  • Nyack, NY
  • NPI 1073881835
  Medicare reassignment NPD
• Symphony Medical PC

  • Hospitalist Physician
  • Dobbs Ferry, NY
  • NPI 1659787653
  Medicare reassignment NPD
• Empowerment NP of Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tuxedo Park, NY
  • NPI 1407589153
  Authorized official Same address or phone
• Empowermenthealth.LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spring Valley, NY
  • NPI 1306435342
  Authorized official Same address or phone
• Montefiore Nyack Hospital

  • General Acute Care Hospital
  • Nyack, NY
  • NPI 1104808062
  NPD
• Mount Care Licensed Behavior Analyst PC

  • Social Worker
  • Spring Valley, NY
  • NPI 1346997913
  NPD
• Symphony Medical PC

  • Orthopaedic Surgery Physician
  • Dobbs Ferry, NY
  • NPI 1023600327
  NPD
• Nys Office of Mental Health

  • Psychiatric Hospital
  • Orangeburg, NY
  • NPI 1386708550
  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1720631963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PARK ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773933",
            "telephone_number": "845-826-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OLD ORANGEBURG RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621157",
            "telephone_number": "845-359-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELIZAIRE",
        "first_name": "MOISE",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-17",
        "last_updated": "2023-11-27",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402640-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK EDUCATION DEPARTMENT",
            "identifier": "F402640-1",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MoisekBelizaire@yahoo.com",
            "affiliation": "Y",
            "endpointDescription": "MoisekBelizaire@yahoo.com",
            "affiliationName": "Rockland Psychiatric center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11 Park St",
            "city": "Spring Valley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109773933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Farnaz Bararaky, MD
• Nigel Martyn Bark, MD
• Lesia U Batorfalvy, D.M.D.
• Gueldye M Beaubrun
• Theresa Daly Beauvil-Leonard, NP
• Robert A Bellantone, PH.D., R.PH.
• Freelledine Belotte
• Salomi Philomena Benjamin
• Amber Marie Biggs
• Aliya Julia Birnbaum

• Psychiatric/Mental Health Nurse Practitioner in Orangeburg, NY
• Providers in Orangeburg, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.

Verify at the official NPI Registry.