Organization Active NPI

E. D. Battles, Jr., M.D., P.C.

  • Clinic/Center
  • Nyack, NY
National Provider Identifier
1316110323
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
083332 Issued in NY
Legal business name
E. D. BATTLES, JR., M.D., P.C.
Practice address
1 Salisbury PT
Nyack, NY 10960-4735
Phone
(845) 358-4674
Fax
(845) 358-4869
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Dr. E Deland Battles Jr., M.D.
Title
Owner
Phone
(845) 358-4674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 083332 NY Primary

Addresses

Primary practice location

1 Salisbury PT
Nyack, NY 10960-4735

Mailing address

1 Salisbury PT
Nyack, NY 10960-4735
Phone (845) 358-4674

Other identifiers 1

IdentifierTypeStateIssuer
00272160MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1316110323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SALISBURY PT",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109604735",
            "telephone_number": "845-358-4674",
            "fax_number": "845-358-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SALISBURY PT",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109604735",
            "telephone_number": "845-358-4674",
            "fax_number": "845-358-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. D. BATTLES, JR., M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "BATTLES",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "DELAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-358-4674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "083332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00272160",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.