Dorene Battles, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

007963 Issued in NY

Practice address

4727 Little Neck Pkwy Apt 6H
Little Neck, NY 11362-1445

Phone

(718) 631-2954

NPI assigned

Mar 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205625600000",
    "number": "1053582296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 LITTLE NECK PKWY APT 6H",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621445",
            "telephone_number": "718-631-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 LITTLE NECK PKWY APT 6H",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621445",
            "telephone_number": "718-631-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTLES",
        "first_name": "DORENE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-16",
        "last_updated": "2008-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "007963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2008; 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.