Individual provider Active NPI

Evaline Obare, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1881240380
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344220 Issued in NY
Practice address
1436 Williamsbridge Rd
Bronx, NY 10461-2507
Phone
(718) 597-1434
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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 F344220 NY Primary

Addresses

Primary practice location

1436 Williamsbridge Rd
Bronx, NY 10461-2507

Mailing address

1436 Williamsbridge Rd
Bronx, NY 10461-2507
Phone (718) 597-1434

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
I20190916001160 NY Practitioner - Nurse Practitioner 8921337098 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronx Medical Practice PCGroup PAC ID 9739496100, 136 clinicians

Practice addresses (Care Compare)

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F344220NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evaline Obare Family Health Nurse Practitioner PC Family Current Accepting new patients
Ion Oltean Physician PC CurrentSince Sep 1, 2022 Accepting new patients
RB Heart and Vascular Care PLLC CurrentSince May 1, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jul 28, 2019 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Jul 28, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Jul 28, 2019 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jul 28, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Jul 28, 2019 Accepting new patients

Locations

22 Robert R Kasin Way
Beacon, NY 12508
Phone (845) 231-5792

2308 Eastchester Rd
Bronx, NY 10469

1434 Williamsbridge Rd
Ste A
Bronx, NY 10461

3130 Grand Concourse
Ste 1N
Bronx, NY 10458
Phone (718) 365-0892

2722 White Plains Rd
Ste A
Bronx, NY 10467

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

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

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

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

1436 Williamsbridge Rd
Bronx, NY 10461
Phone (646) 759-5453

5667 Riverdale Ave
Bronx, NY 10471

616 Castle Hill Ave
Ste A
Bronx, NY 10473

502 E Tremont Ave
Bronx, NY 10457
Phone (646) 762-6905

1009 E 163rd St
Bronx, NY 10459
Phone (718) 828-6800

2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434

1990 McGraw Ave
Ste A
Bronx, NY 10462

1181 Grand Concourse
Bronx, NY 10452
Phone (718) 655-1400

2015 Grand Concourse
#13202
Bronx, NY 10453

3134 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1000

2742 3rd Ave
Ste A
Bronx, NY 10455

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

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

Networks

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

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1881240380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "718-597-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "718-597-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBARE",
        "first_name": "EVALINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.