Individual provider Active NPI

Evelyn Brobbey, GNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodside, NY
National Provider Identifier
1255395869
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401577-01 Issued in NY
Practice address
6110 Queens Blvd
2ND Floor
Woodside, NY 11377-5776
Phone
(212) 609-4011
NPI assigned
Apr 12, 2006
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401577-01 NY Primary
Gerontology Nurse Practitioner 363LG0600X F340543 NY

Addresses

Primary practice location

6110 Queens Blvd
2ND Floor
Woodside, NY 11377-5776

Mailing address

1150 South Ave FL 3
Staten Island, NY 10314-3404
Phone (718) 477-4726

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
I20050203000635 NY Practitioner - Nurse Practitioner 0941251243 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Omar Osman MD PLLCGroup PAC ID 1355716812, 13 clinicians

Practice addresses (Care Compare)

91 Tompkins Ave
Staten Island, NY 10304-2601
Phone (718) 876-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F340543NYMDGerontology Nurse Practitioner
F401577-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wagner Medical PC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Omar Osman MD PLLC CurrentSince Jan 1, 2026 Accepting new patients
Evelyn a Brobbey Psychiatric NP PLLC Psychiatric/Mental Health Current Accepting new patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince Mar 2, 2019 Accepting new patients
Middlesex Psychiatry & TMS PC Past Accepting new patients
Staten Island Physician Practice PC Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

803 Sterling Pl
Brooklyn, NY 11216
Phone (718) 613-1700

100 Church St
Fl 8
New York, NY 10007
Phone (773) 741-4452

57 Bay St
Staten Island, NY 10301
Phone (718) 226-3200

91 Tompkins Ave
Staten Island, NY 10304
Phone (718) 876-1200

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1255395869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SOUTH AVE FL 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143404",
            "telephone_number": "718-477-4726",
            "fax_number": "718-477-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 QUEENS BLVD",
            "address_2": "2ND FLOOR",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775776",
            "telephone_number": "212-609-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROBBEY",
        "first_name": "EVELYN",
        "name_prefix": "Mrs.",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401577-01",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.