Individual provider Active NPI

Cynthia Forstbauer

  • Family Nurse Practitioner
  • Centerport, NY
National Provider Identifier
1619507449
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344956 Issued in NY
Practice address
326 Coolidge Dr
Centerport, NY 11721-1304
Phone
(631) 819-7000
NPI assigned
Jan 21, 2020
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F344956 NY Primary

Addresses

Primary practice location

326 Coolidge Dr
Centerport, NY 11721-1304

Mailing address

326 Coolidge Dr
Centerport, NY 11721-1304
Phone (631) 819-7000

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
I20200219002101 NY Practitioner - Nurse Practitioner 2163859828 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F344956NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. CurrentSince Jan 1, 2020 Accepting new patients
Essen Medical Associates, PC CurrentSince Jan 1, 2020 Accepting new patients
Huntington House Calls Family Health NP PLLC Family CurrentSince Mar 12, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Jan 1, 2020 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Jan 1, 2020 Accepting new patients
Ocean NP in Family Health PLLC Family CurrentSince Mar 17, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2015 Grand Concourse
#13202
Bronx, NY 10453

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

475 New Hempstead Rd
New City, NY 10956
Phone (347) 829-6863

Organizations & group practices 7

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": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1619507449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 COOLIDGE DR",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211304",
            "telephone_number": "631-819-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 COOLIDGE DR",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211304",
            "telephone_number": "631-819-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSTBAUER",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerport, NY

Sources for this page

Verify at the official NPI Registry.