Individual provider Active NPI

Sanny Paningbatan Jr., FNP-BC

  • Family Nurse Practitioner
  • Nanuet, NY
National Provider Identifier
1245104280
Registry record updated Jun 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
357934 Issued in NY
Practice address
199 N Middletown Rd
Nanuet, NY 10954-1317
Phone
(845) 623-3904
NPI assigned
Oct 2, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 357934 NY Primary

Addresses

Primary practice location

199 N Middletown Rd
Nanuet, NY 10954-1317

Mailing address

199 N Middletown Rd
Nanuet, NY 10954-1317
Phone (845) 623-3904

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
I20260324000047 NY Practitioner - Nurse Practitioner 0244714749 Reassigns benefits to 2 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
Arcadian Medical Health PCGroup PAC ID 6800388372, 33 clinicians
Genesis Medical Health PCGroup PAC ID 9032308267, 44 clinicians

Practice addresses (Care Compare)

199 N Middletown Rd
Nanuet, NY 10954-1317
Phone (845) 354-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
357934NYMDFamily Nurse Practitioner

Organizations & group practices 2

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": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781395200000",
    "number": "1245104280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 N MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109541317",
            "telephone_number": "845-623-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 N MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109541317",
            "telephone_number": "845-623-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANINGBATAN",
        "first_name": "SANNY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-02",
        "last_updated": "2026-06-14",
        "certification_date": "2026-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

Verify at the official NPI Registry.