Individual provider Active NPI

Tony Bao, FNP-C

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1265838874
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349454 Issued in NY
Practice address
86 Brighton 1St PL FL 1
Brooklyn, NY 11235-7473
Phone
(347) 374-5026
NPI assigned
Nov 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 349454 NY Primary
Registered Nurse 163W00000X 693651 NY

Addresses

Primary practice location

86 Brighton 1St PL FL 1
Brooklyn, NY 11235-7473

Mailing address

2685 E 22ND St Apt 1B
Brooklyn, NY 11235-2871
Phone (347) 977-4507

Other practice location 1

210 Montrose Ave
Brooklyn, NY 11206-2351
Phone (718) 417-1117

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
I20221109000216 NY Practitioner - Nurse Practitioner 7810364544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

86 Brighton 1St PL
FL 1
Brooklyn, NY 11235-7473
Phone (347) 374-5026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
349454NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tony Bao NP in Family Health, P.C. Family CurrentSince Jun 29, 2024 Accepting new patients
East Summit Medical PC PastSince Oct 1, 2021 Accepting new patients

Locations

86 Brighton 1st Pl
Fl 1
Brooklyn, NY 11235
Phone (347) 374-5026

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1265838874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 E 22ND ST APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352871",
            "telephone_number": "347-977-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 BRIGHTON 1ST PL FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357473",
            "telephone_number": "347-374-5026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Montrose Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112062351",
            "country_code": "US",
            "telephone_number": "718-417-1117",
            "fax_number": "718-808-8113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAO",
        "first_name": "TONY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349454",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "693651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.