Active NPI
Jocelin Sisto, PA-C
- Surgical Physician Assistant
- La Grange Highlands, IL
National Provider Identifier
1053515262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 085-002605
- Practice address
- 5201 Willow Springs Rd Ste 380
La Grange Highlands, IL 60525-6539 - Phone
- (708) 579-0018
- Fax
- (708) 354-0264
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 085-002605 | IL | Primary |
Addresses
Primary practice location
5201 Willow Springs Rd Ste 380
La Grange Highlands, IL 60525-6539
Mailing address
PO Box 7009
Bolingbrook, IL 60440-7009
Phone (708) 579-0018
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403270 | Other | IL | GROUP PTAN |
| CN4921 | Other | RRMC |
Other names 1
- Jocelin Battistioni
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-002605 | IL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sami M. Bittar, M.D., S.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Plastic Surgery Physician
- La Grange Highlands, IL
- NPI 1376737296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1053515262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7009",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604407009",
"telephone_number": "708-579-0018",
"fax_number": "708-354-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 WILLOW SPRINGS RD STE 380",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605256539",
"telephone_number": "708-579-0018",
"fax_number": "708-354-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISTO",
"first_name": "JOCELIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IL",
"license": "085-002605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "403270",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "CN4921",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOCELIN",
"last_name": "BATTISTIONI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in La Grange Highlands, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.