Active NPI
Neove Banares
- Physical Medicine & Rehabilitation Physician
- Gloversville, NY
National Provider Identifier
1396585576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 051768
- Practice address
- 124 Kingsboro Ave Apt 6
Gloversville, NY 12078-2203 - Phone
- (518) 816-5051
- NPI assigned
- May 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 051768 | NY | Primary |
Addresses
Primary practice location
124 Kingsboro Ave Apt 6
Gloversville, NY 12078-2203
Mailing address
124 Kingsboro Ave Apt 6
Gloversville, NY 12078-2203
Phone (518) 816-5051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051768 | NY | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1396585576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 KINGSBORO AVE APT 6",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120782203",
"telephone_number": "518-816-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 KINGSBORO AVE APT 6",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120782203",
"telephone_number": "518-816-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANARES",
"first_name": "NEOVE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "051768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloversville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.