Individual provider Active NPI

Protima Karmaker, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Goshen, NY
National Provider Identifier
1780530451
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F408132-01 Issued in NY
Practice address
112 Maple Ave
Goshen, NY 10924-6413
Phone
(914) 471-0068
NPI assigned
Mar 5, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F408132-01 NY Primary

Addresses

Primary practice location

112 Maple Ave
Goshen, NY 10924-6413

Mailing address

112 Maple Ave
Goshen, NY 10924-6413

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260403001159 NY Practitioner - Nurse Practitioner 2264917509 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medagent CorpGroup PAC ID 4789900796, 27 clinicians

Practice addresses (Care Compare)

7 Croton Ave
Cortlandt Manor, NY 10567-5203
Phone (914) 962-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F408132-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medagent Corp CurrentSince Apr 1, 2026 Accepting new patients

Locations

7 Croton Ave
Cortlandt Mnr, NY 10567
Phone (914) 962-5800

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1780530451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MAPLE AVE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAPLE AVE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246413",
            "telephone_number": "914-471-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARMAKER",
        "first_name": "PROTIMA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F408132-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

Verify at the official NPI Registry.