ROSALIE BANOVICH (NPI# 1306941026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306941026 |
Entity Type | Individual |
Full Name | ROSALIE BANOVICH |
Credential | NPP |
Practice Address |
565 Route 25a Ste 209 Miller Place NY 11764-2600 |
Mailing Address |
23 Rockledge Dr. Shirley NY 11967 |
Practice Telephone | 6314456881 |
Practice Fax Number | 6318494926 |
Mailing Telephone | 6314456881 |
Mailing Fax Number | 6317293484 |
Enumeration Date | 2006-09-14 |
Last Update Date | 2015-03-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F400724 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | DEA | MB1010191 | 01 |
NY | REGISTERED NURSE | 330804 | 01 |
NY | PSYCH NURSE PRACT. LIC | F400724 | 01 |
Street Address |
565 ROUTE 25A STE 209 |
City | MILLER PLACE |
State | NY |
Zip Code | 11764-2600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689151870 | Jjr Lifecare Inc | In Home Supportive Care | 85 Echo Ave., Suite 5, Miller Place, NY 11764 | 2018-07-20 |
1447782172 | Xuxin Zhang | Dentist | 555 Ny-25a, Miller Place, NY 11764 | 2017-03-31 |
1679972202 | Tara Daniels | Social Worker | 595-20 Route 25a, Suite 20, Miller Place, NY 11764 | 2014-08-20 |
1063858355 | Karen Ann Mcnulty | Specialist | 16 White Birch Circle, Miller Place, NY 11764 | 2013-05-14 |
1689918070 | Katja Mercado | Speech-Language Pathologist | 3 Honey Lane, Miller Place, NY 11764 | 2012-11-26 |
1447526967 | North Isle Chiropractic PC | Chiropractor | 93 Miller Place Rd., Miller Place, NY 11764 | 2012-03-29 |
1235404039 | Divine Chiropractic LLC | Chiropractor | 465 Route 25a, Suite 1, Miller Place, NY 11764 | 2012-03-13 |
1124338611 | Lisa Aitken | Social Worker | 15 Memorial Drive, Miller Place, NY 11764 | 2010-10-18 |
1659504876 | Janet Lynn Karp | Speech-Language Pathologist | 36 Samuels Path, Miller Place, NY 11764 | 2009-09-04 |
1356577589 | Marilee Somerville | Physical Therapist | 36 Sweetgum Ln, Miller Place, NY 11764 | 2009-06-02 |
Find all providers in zip 11764 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508147950 | Pamela Jane Rathburn | Nurse Practitioner | 48 Samuels Path, Miller Place, NY 11764-1921 | 2011-08-30 |
1821156738 | Miriam Garcia | Nurse Practitioner | 19 Henearly Dr, Miller Place, NY 11764-3307 | 2006-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
Find all providers with the same taxonomy |
City | MILLER PLACE |
Zip Code | 11764 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.