Individual provider Active NPI

Betty Pierre-Buly, REGISTERED NURSE

  • Psychiatric/Mental Health Nurse Practitioner
  • Fresh Meadows, NY
National Provider Identifier
1982917266
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F406818-1 Issued in NY
Practice address
19615 75TH Ave
Fresh Meadows, NY 11366-1737
Phone
(718) 969-4454
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 633356 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F406818-1 NY Primary

Addresses

Primary practice location

19615 75TH Ave
Fresh Meadows, NY 11366-1737

Mailing address

53 Ruby St
Elmont, NY 11003-4231
Phone (718) 206-1990

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
I20251204000567 NY Practitioner - Nurse Practitioner 4284127697 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19 Pickett CT
Malverne, NY 11565-1027

497 Rockaway Ave
Valley Stream, NY 11581-1909

5550 Merrick Rd
Massapequa, NY 11758-6238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
633356NYMDRegistered Nurse
F406818-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc CurrentSince Nov 1, 2025 Accepting new patients
Garden Medical Consulting PLLC CurrentSince Jul 22, 2025 Accepting new patients
Om Psychiatry, P.C. CurrentSince Jan 14, 2026 Accepting new patients
Harry'S Nurses Registry,Inc Past Accepting new patients

Locations

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

50 W Hawthorne Ave
Valley Stream, NY 11580
Phone (516) 872-9698

Organizations & group practices 5

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1982917266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 RUBY ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034231",
            "telephone_number": "718-206-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19615 75TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661737",
            "telephone_number": "718-969-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE-BULY",
        "first_name": "BETTY",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "633356",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F406818-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.