Nicole Batista, DACM, L.AC

Individual provider Active NPI Acupuncturist · Fairfield, NJ

NPI 1013535244 · NPPES record last updated Nov 25, 2020

Key facts

NPI
1013535244
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
25MZ00143200 (NJ)
Practice address
410 Route 46 E
Fairfield, NJ 07004-1972
Phone
(862) 210-8189
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
25MZ00143200NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Get Well Health Center LLC Acupuncturist Current
since Jul 24, 2022
Accepting new patients
New Jersey Vascular LLC Single Specialty Current
since Nov 29, 2020
Accepting new patients

Locations

410 US Highway 46
Fairfield, NJ 07004
Phone (862) 210-8189

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
171100000X 25MZ00143200 NJ Yes

Addresses

Primary practice location

410 Route 46 E
Fairfield, NJ 07004-1972

Mailing address

PO Box 6694
Freehold, NJ 07728-6694
Phone (732) 213-0557

Other providers in Fairfield, NJ

All providers in Fairfield, NJ · Acupuncturist in New Jersey

Sources for this page

Verify at the official NPI Registry.