Active NPI
Maria Banar, PA-C
- Surgical Physician Assistant
- Quincy, MA
National Provider Identifier
1912141201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- AP2266
- Practice address
- 152 Barham Ave
Apt.3
Quincy, MA 02170-1100 - Phone
- (617) 501-7055
- NPI assigned
- Apr 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | AP2266 | MA | Primary |
Addresses
Primary practice location
152 Barham Ave
Apt.3
Quincy, MA 02170-1100
Mailing address
152 Barham Ave
Apt.3
Quincy, MA 02170-1100
Phone (617) 501-7055
Other names 1
- Ms. Masha Banar
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 |
|---|---|---|---|
| AP2266 | MA | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241049600000",
"number": "1912141201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 BARHAM AVE",
"address_2": "APT.3",
"city": "QUINCY",
"state": "MA",
"postal_code": "021701100",
"telephone_number": "617-501-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 BARHAM AVE",
"address_2": "APT.3",
"city": "QUINCY",
"state": "MA",
"postal_code": "021701100",
"telephone_number": "617-501-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANAR",
"first_name": "MARIA",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-30",
"last_updated": "2009-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MA",
"license": "AP2266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MASHA",
"last_name": "BANAR",
"prefix": "MS.",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.