Operation Engage Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

OPERATION ENGAGE INC

Practice address

163 Charles Blvd
Valley Cottage, NY 10989-2438

Phone

(631) 624-2872

NPI assigned

Jan 3, 2023

Organization subpart

No

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

Authorized official

Name

Ryan Baum

Title

Board Member

Phone

(516) 729-8606

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan M Trees, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Central Islip, NY
  • NPI 1912219841
  Medicare reassignment
• Lisa Corleto

  • Clinical Social Worker
  • Jamaica, NY
  • NPI 1720578644

  Single Specialty

  NPD

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1831802909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 5TH ST",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117413701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 CHARLES BLVD",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892438",
            "telephone_number": "631-624-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPERATION ENGAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "516-729-8606"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Notley-Kim, PT
• Alan C Nussbaum, M.D.
• Nyack Manor Nursing Home
• Nyack Operating LLC
• Martina Mary O'Reilly, RN
• Orthotics & Prosthetics Technologies Corp
• Daisy Ortiz
• Jahan Ortiz, CASAC
• Palisades Lymphedema & Oncology Physiotherapy, RLLP
• Christina Pamphile

• Psychiatric/Mental Health Nurse Practitioner in Valley Cottage, NY
• Providers in Valley Cottage, 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 Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.