Individual provider Active NPI

Jocelin Sisto, PA-C

  • Surgical Physician Assistant
  • La Grange Highlands, IL
National Provider Identifier
1053515262
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
085-002605 Issued in IL
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

Updated by the provider on Mar 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
403270OtherILGROUP PTAN
CN4921OtherRRMC

Other names 1

  • Jocelin Battistioni Former name

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

LicenseStateTypeSpecialty
085-002605ILMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.