Banyan Tree Birth Center LLC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Legal business name

BANYAN TREE BIRTH CENTER LLC

Practice address

88 Maple Ave
Smithtown, NY 11787-3502

Phone

(631) 486-0832

Fax

(631) 504-0723

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley J Meccariello, CNMNPI 1285174474

Title

Owner/Partner

Phone

(914) 274-0791

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley J Meccariello, CNM

  • Advanced Practice Midwife
  • Smithtown, NY
  • NPI 1285174474
  NPD Authorized official

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1013791193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119610405",
            "telephone_number": "631-486-0832",
            "fax_number": "631-486-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MAPLE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873502",
            "telephone_number": "631-486-0832",
            "fax_number": "631-504-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANYAN TREE BIRTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "MECCARIELLO",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "914-274-0791",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa M Bahr, BSW
• Andrew N. Bainnson, M.D.
• Raine Keegan Baker, LCSW
• Rajveer Singh Bal, DMD
• Nancy Balkon, PHD, NP, FAANP
• Nicole Baranek, FNP
• Roseann Baranta
• Malgorzata Lidia Barbach, LCSW-R
• Barbara L. Seifert, M.D., P.C.
• Alycia Barbieri, L.AC

• Advanced Practice Midwife in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Advanced Practice Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.