IndividualActive
Mia Ivancovich
NPI 1487467957 · Registered Nurse · Brentwood, NY
Mia Ivancovich is a Registered Nurse provider in Brentwood, NY (NPI 1487467957).
Provider details
- NPI number
- 1487467957
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 813227-01 (NY)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
452 Suffolk Ave
Brentwood, NY 11717-4214
Phone: (631) 436-6065
Street-level locationGet directions
Mailing address
67 Millay Ln
Bay Shore, NY 11706-4329
Registry dates
- Enumerated
- 2025-01-29
- Last updated
- 2025-01-29
- Certified
- 2025-01-29
Frequently asked questions
- What is Mia Ivancovich's NPI number?
- Mia Ivancovich's National Provider Identifier (NPI) is 1487467957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mia Ivancovich's specialty?
- Mia Ivancovich is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Mia Ivancovich located?
- Mia Ivancovich's practice location on file with NPPES is 452 Suffolk Ave, Brentwood, NY 11717-4214.
- What is Mia Ivancovich's phone number?
- The practice phone number listed in the NPPES registry for Mia Ivancovich is (631) 436-6065.
- Is Mia Ivancovich's NPI active?
- Yes — Mia Ivancovich's NPI (1487467957) is active in the NPPES registry as of the last update on 2025-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.