Individual provider Active NPI

Marilyn Batista

  • Psychiatric/Mental Health Nurse Practitioner
  • Bay Shore, NY
National Provider Identifier
1265685259
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F405211 Issued in NY
Practice address
212 5TH Ave
Bay Shore, NY 11706-6408
Phone
(917) 864-7560
NPI assigned
Nov 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 280019 NY
Family Nurse Practitioner 363LF0000X F337611-01 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405211 NY Primary

Addresses

Primary practice location

212 5TH Ave
Bay Shore, NY 11706-6408

Mailing address

10 Fuller St
Dix Hills, NY 11746-6656

Other practice location 1

622 3rd Ave
New York, NY 10017-6707
Phone (212) 916-0845

Other practice location 2

151 E 151st St
Bronx, NY 10451-5248
Phone (718) 468-2602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240125002184 CT Practitioner - Nurse Practitioner 7315390481 Reassigns benefits to 1 organization
I20240221000809 NY Practitioner - Nurse Practitioner 7315390481 Reassigns benefits to 1 organization
Practice locations: New Rochelle, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel S Berman MD Infectious Diseases PCGroup PAC ID 2567723562, 17 clinicians

Practice addresses (Care Compare)

491 State Route 208
Suite 211
Monroe, NY 10950-1656
Phone (718) 633-7828

Hospital & facility affiliations

  • Emerest Home Health Care of Long Island Home health agency, Flushing, NY, CCN 337189
  • Emerest Home Health Care of Ny Home health agency, Bronx, NY, CCN 337456
  • Excellent Home Care Services LLC Home health agency, Brooklyn, NY, CCN 337424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
280019NYMDRegistered Nurse
337611NYMDLicensed Practical Nurse
F337611-01NYMDFamily Nurse Practitioner
F405211NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mar Y Sol Mental Health Experts LLC CurrentSince Nov 21, 2023 Accepting new patients
Dr. Christina Vaglica Psychiatry, P.C. CurrentSince Apr 27, 2025 Accepting new patients
Daniel S. Berman, M.D., Infectious Diseases P.C. CurrentSince Jun 7, 2024 Accepting new patients
Dr. Christina Vaglica Psychiatry, P.C. CurrentSince Mar 24, 2025 Accepting new patients

Locations

46 Federal Rd
Ste D
Danbury, CT 06810
Phone (203) 456-6969

212 5th Ave
Bay Shore, NY 11706
Phone (917) 864-0000

1235 Pelham Pkwy N
Bronx, NY 10469
Phone (718) 231-4300

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

491 State Route 208
Ste 211
Monroe, NY 10950
Phone (718) 633-7828

Interoperability endpoints

  • Direct secure messaging: marilyn.batista.1@22829.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1265685259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FULLER ST",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 5TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066408",
            "telephone_number": "917-864-7560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176707",
            "country_code": "US",
            "telephone_number": "212-916-0845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 E 151st St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515248",
            "country_code": "US",
            "telephone_number": "718-468-2602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATISTA",
        "first_name": "MARILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "280019",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337611-01",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.