Active NPI
Tony Bao, FNP-C
- Family Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1265838874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 349454
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 349454 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tony Bao NP in Family Health, P.C. | Family | Current | Accepting new patients |
| East Summit Medical PC | Past | 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.
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1639943723
-
- Gastroenterology Physician
- New York, NY
- NPI 1093371742
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.