Active NPI
Enrico Espanol Tobias, CRNA FNP
- Certified Registered Nurse Anesthetist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 079661
- Practice address
- 395 Stockholm St
Apt 2
Brooklyn, NY 11237-4007 - Phone
- (832) 763-2906
- NPI assigned
- Mar 4, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 079661 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | RN093092 | TX |
Addresses
Primary practice location
395 Stockholm St
Apt 2
Brooklyn, NY 11237-4007
Mailing address
395 Stockholm St
Apt 2
Brooklyn, NY 11237-4007
Phone (832) 763-2906
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2100815 | Medicaid | TX | |
| 195369701 | Medicaid | TX | |
| P00827797 | Other | TX | RAILROAD MEDICARE |
| 89053U | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 E 47TH St
New York, NY 10017-2303
Phone (718) 550-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN093092 | TX | MD | Family Nurse Practitioner |
| 079661 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centurion Midtown Anesthesia PLLC | Current | Accepting new patients | |
| Sedation Vacation Perioperative Medicine PLLC | Current | Accepting new patients |
Locations
1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313
11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900
305 E 47th St
New York, NY 10017
Phone (212) 203-8744
10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- New York, NY
- NPI 1750087854
-
- Specialist
- Valley Stream, NY
- NPI 1891235404
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384128000000",
"number": "1497925507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 STOCKHOLM ST",
"address_2": "APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374007",
"telephone_number": "832-763-2906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 STOCKHOLM ST",
"address_2": "APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374007",
"telephone_number": "832-763-2906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIAS",
"first_name": "ENRICO",
"middle_name": "ESPANOL",
"name_prefix": "Mr.",
"credential": "CRNA FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-04",
"last_updated": "2013-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "079661",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "RN093092",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2100815",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "195369701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00827797",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "89053U",
"state": "TX"
}
],
"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 Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.