Active NPI
E. D. Battles, Jr., M.D., P.C.
- Clinic/Center
- Nyack, NY
National Provider Identifier
1316110323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 083332
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00272160 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.