GREGORY PAUL BOVENZI NPI 1003405713

NPI Information

NPI: 1003405713
Provider Name: GREGORY PAUL BOVENZI
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1 GUSTAVE L LEVY PL
NEW YORK, NY
ZIP 10029
Phone: (212) 241-7968
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Gregory Paul Bovenzi is a psychiatric/mental health nurse practitioner in New York, NY. Gregory Paul Bovenzi NPI is 1003405713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 GUSTAVE L LEVY PL
NEW YORK, NY
ZIP 10029-504
Phone: (212) 241-7968

The NPI 1003405713 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/16/2021 and was last updated on 11/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		732940	NEW YORK	No
2	164W00000X	Licensed Practical Nurse		302177	NEW YORK	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	403684	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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