Individual provider Active NPI

Natividad D Batista Herasme

  • Family Medicine Physician
  • Paterson, NJ
National Provider Identifier
1326815424
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F11230774 Issued in NJ
Practice address
505 15TH Ave
Paterson, NJ 07504-1541
Phone
(978) 609-4511
NPI assigned
Dec 8, 2023
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F11230774 NJ Primary

Addresses

Primary practice location

505 15TH Ave
Paterson, NJ 07504-1541

Mailing address

505 15TH Ave
Paterson, NJ 07504-1541
Phone (978) 609-4511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250926000617 NJ Practitioner - Nurse Practitioner 4284139528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

606 Broadway
Paterson, NJ 07514-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F11230774NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G&S Medical Associates LLC CurrentSince Sep 1, 2025 Accepting new patients
Optimum Pri-Med Care PA Family Medicine PastSince Dec 14, 2011 Accepting new patients

Locations

293 Monroe St
Passaic, NJ 07055
Phone (973) 773-5568

335 Passaic St
Passaic, NJ 07055
Phone (973) 358-5500

80 Passaic Ave
Passaic, NJ 07055
Phone (973) 928-2167

295 Broadway
Paterson, NJ 07501
Phone (973) 345-9745

34 Mill St
Paterson, NJ 07501
Phone (973) 341-3782

606 Broadway
Paterson, NJ 07514
Phone (973) 278-8818

91 Main St
Paterson, NJ 07505
Phone (973) 358-5500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1326815424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 15TH AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041541",
            "telephone_number": "978-609-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 15TH AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041541",
            "telephone_number": "978-609-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATISTA HERASME",
        "first_name": "NATIVIDAD",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "F11230774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.