Individual provider Active NPI

Elizabeth Sheridan Tobin, WHNP

  • Women's Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1336616093
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F421366 Issued in NY
Practice address
295 Flatbush Avenue Ext FL 3
Brooklyn, NY 11201-3001
Phone
(718) 522-1144
NPI assigned
Oct 30, 2018
Last updated
Oct 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F421366 NY Primary

Addresses

Primary practice location

295 Flatbush Avenue Ext FL 3
Brooklyn, NY 11201-3001

Mailing address

228 Gates Ave # 2
Brooklyn, NY 11238-2019
Phone (646) 642-5404

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
I20210614000989 NY Practitioner - Nurse Practitioner 4587064597 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F421366NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater New York Inc CurrentSince May 24, 2021 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jul 26, 2023 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jul 26, 2023 Accepting new patients
Planned Parenthood of the Southern Finger Lakes Inc. PastSince May 24, 2021 Accepting new patients

Locations

349 E 149th St
Fl 2
Bronx, NY 10451
Phone (212) 965-4826

44 Court St
Fl 6
Brooklyn, NY 11201
Phone (718) 852-6879

540 Fulton Ave
Hempstead, NY 11550
Phone (516) 750-2600

400 N Perry St
Johnstown, NY 12095
Phone (518) 284-3570

21 Grand St
Kingston, NY 12401
Phone (845) 338-0840

2141 45th Rd
Long Island City, NY 11101
Phone (212) 965-7000

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

622 W 168th St
Ph 16
New York, NY 10032
Phone (212) 305-2463

26 Bleecker St
Prince, NY 10012
Phone (212) 274-7226

543 Bay Rd
Queensbury, NY 12804
Phone (518) 761-2663

236 Washington St
Saratoga Springs, NY 12866
Phone (518) 584-0041

1040 State St
Schenectady, NY 12307
Phone (518) 374-5353

Networks

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

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

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, 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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1336616093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 GATES AVE # 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382019",
            "telephone_number": "646-642-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 FLATBUSH AVENUE EXT FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013001",
            "telephone_number": "718-522-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "ELIZABETH",
        "middle_name": "SHERIDAN",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.