Bracha L. Banayan, NP
Individual provider Active NPI Family Nurse Practitioner · Monsey, NY
NPI 1609258235 · NPPES record last updated Jun 19, 2015
Key facts
- NPI
- 1609258235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F339706-1 (NY)
- Practice address
- 51 Parker Blvd
Monsey, NY 10952 - Phone
- (347) 760-8197
- NPI assigned
- Jun 19, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150923000625 | NY | Practitioner - Nurse Practitioner | 0547577546 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F339706-1 | NY | Yes |
Addresses
Primary practice location
51 Parker Blvd
Monsey, NY 10952
Mailing address
51 Parker Blvd
Monsey, NY 10952
Phone (347) 760-8197
Other providers in Monsey, NY
- Robert Thomas Bagatta
- Devorah Bak
- Harry George Baldinger
- Sarah Balsam
- Judith Bamberger
- Eliyahu Bar-Horin
- Shoshana Barber
- Jana Barkin
- George Barlow
- Valerie Baroulette
All providers in Monsey, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.