Individual provider Active NPI

Nandy Toby Bauer, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1700313095
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340443 Issued in NY
Practice address
2555 Nostrand Ave
Brooklyn, NY 11210-4730
Phone
(718) 413-8187
NPI assigned
May 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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 F340443 NY Primary

Addresses

Primary practice location

2555 Nostrand Ave
Brooklyn, NY 11210-4730

Mailing address

1070 E 5TH St
Brooklyn, NY 11230-3325
Phone (718) 413-8187

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
I20170726003438 NY Practitioner - Nurse Practitioner 5193095933 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F340443NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Medical Care, PLLC CurrentSince Feb 23, 2019 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Jul 1, 2017 Accepting new patients
Boro Park Pediatric Associates, PLLC Past Accepting new patients
Premium Health Inc Past Accepting new patients

Locations

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

18420 Union Tpke
Fresh Meadows, NY 11366
Phone (646) 453-0219

18606 Union Tpke
Fresh Meadows, NY 11366
Phone (718) 575-0974

745 State Route 17M
Monroe, NY 10950
Phone (845) 782-3200

520 Main St
Roosevelt Island, NY 10044
Phone (212) 832-2310

Networks

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

Organizations & group practices 4

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": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494979200000",
    "number": "1700313095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 E 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303325",
            "telephone_number": "718-413-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104730",
            "telephone_number": "718-413-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "NANDY",
        "middle_name": "TOBY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.