ROSALIE BANOVICH NPP
NPI 1306941026
Nurse Practitioner - Psychiatric/Mental Health in Miller Place, NY

Q: What is Rosalie Banovich's NPI number?

The NPI number for Rosalie Banovich is 1306941026. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Q: What is Rosalie Banovich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Rosalie Banovich was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2006

565 ROUTE 25A STE 209, MILLER PLACE, NY 11764(631) 445-6881(631) 849-4926 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rosalie Banovich Npp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSALIE BANOVICH NPP (NPI 1306941026) is an individual psychiatric/mental health provider in Miller Place, New York, licensed in New York (F400724) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1306941026

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameROSALIE BANOVICHCredential: NPP

Location Address565 ROUTE 25A STE 209Miller Place, NY 11764-2600

Mailing Address23 Rockledge Dr.Shirley, NY 11967 · (631) 445-6881 · Fax (631) 729-3484

Phone(631) 445-6881

Fax(631) 849-4926

Sole ProprietorYes

Enumeration DateSeptember 14, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1306941026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F400724

565 ROUTE 25A STE 209, Miller Place, NY 11764

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Other Identifiers 2

OtherF400724NY · Psych Nurse Pract. Lic

Other330804NY · Registered Nurse

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosalie Banovich's NPI number?

The NPI number for Rosalie Banovich is 1306941026. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Rosalie Banovich located?

Rosalie Banovich practices at 565 Route 25A Ste 209, Miller Place, NY 11764. The listed phone number is (631) 445-6881.

What is Rosalie Banovich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Rosalie Banovich was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.