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LORENA TOBIAS APN
NPI 1730561374
Nurse Practitioner - Pediatrics in Bronx, NY

Active since June 19, 2015PECOS Enrolled
2015 GRAND CONCOURSE, BRONX, NY 10453(718) 583-7736(718) 537-6180 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lorena Tobias Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORENA TOBIAS APN (NPI 1730561374) is an individual pediatrics provider in Bronx, New York, licensed in New York (F382583) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730561374
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLORENA TOBIASCredential: APN
Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303
Mailing Address2626 Halperin AveBronx, NY 10461-1000 · (718) 583-7736 · Fax (718) 537-6180
Phone(718) 583-7736
Fax(718) 537-6180
Sole ProprietorNo
Enumeration DateJune 19, 2015
Last NPPES UpdateJanuary 16, 2023
NPPES CertifiedJanuary 16, 2023
✔ NPI 1730561374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in NY · F382583✔ Licensed in NJ · 26NJ00566600
2015 GRAND CONCOURSE, Bronx, NY 10453
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lorena Tobias Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Lorena Tobias reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Essen Medical Associates, PC
Same address
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
NPI 1366418709 (718) 583-7736
Essen Medical Urgicare, PLLC
1.0 mi
Urgent Care
1550 UNIVERSITY AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1841607298 (718) 583-7736
Alliance Community Healthcare, Inc.
12 mi
Federally Qualified Health Center (FQHC)
115 CHRISTOPHER COLUMBUS DR
Jersey City, NJ 07302
  • Reassigned Medicare billing, New Jersey enrollment
  • 19 clinicians in this Medicare group
NPI 1285662684 (201) 451-6300
Drx Paramus, LLC
12 mi
Urgent Care
67 E RIDGEWOOD AVE, UNIT C
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 144 clinicians in this Medicare group
NPI 1316272685 (201) 262-2010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANA RAO M.D.
Internal Medicine (Infectious Disease)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
TANDIKA BOATSWAIN NP
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
DR. KESHAV TEELUCKSINGH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
LATOYA BETTON NP
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
CYNTHIA JEAN
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
MS. RASHANA P THOMPSON NP, RN
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
PAUL CHEN DO
Family Medicine
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
JOY MARIE SHAKELTON WHNP-BC, CRNP
Nurse Practitioner (Women's Health)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 583-7736

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lorena Tobias's NPI number?

The NPI number for Lorena Tobias is 1730561374. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Lorena Tobias located?

Lorena Tobias practices at 2015 Grand Concourse, Bronx, NY 10453. The listed phone number is (718) 583-7736.

What is Lorena Tobias's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Lorena Tobias enrolled in Medicare?

Yes. Lorena Tobias is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lorena Tobias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorena Tobias reassigns Medicare benefits to 4 organizations: Essen Medical Associates, PC (Bronx, NY), Essen Medical Urgicare, PLLC (Bronx, NY), Alliance Community Healthcare, Inc. (Jersey City, NJ) and Drx Paramus, LLC (Paramus, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lorena Tobias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lorena Tobias accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Lorena Tobias as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lorena Tobias was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.