Melissa Benbanaste

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

PENDING Issued in CT

Practice address

641 Forest Ave
Larchmont, NY 10538-1529

Phone

(202) 258-5373

NPI assigned

Jul 14, 2025

Sex

Female

Sole proprietor

No

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.

• Family Centers Inc

  • Health Service Clinic/Center
  • Stamford, CT
  • NPI 1790818516
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2025.

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1164313466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 FOREST AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105381529",
            "telephone_number": "202-258-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 FOREST AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105381529",
            "telephone_number": "202-258-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENBANASTE",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis W Barry, D.M.D.
• Jennifer Scavera Battaglino, LCSW
• Be Well Therapeutics Studio
• Michael Behar, M.D.
• Phyllis Elaine Beinstein, CSW
• Mindy J Bender
• Elizabeth Benner, LMFT
• Carolyn N Berger
• Nancy G Berlin, PHD
• Robert Joel Berlin, M.D.

• All providers in Larchmont, NY
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.