Active NPI
Jerry O Batley Jr., MD
- Surgery Physician
- Warren, NJ
National Provider Identifier
1366496267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD2015-0624
- Practice address
- 34 Mountain Blvd Ste 203
Warren, NJ 07059-2640 - Phone
- (668) 607-2308
- Fax
- (248) 855-5455
- NPI assigned
- May 22, 2006
- Last updated
- Aug 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101231512 | VA | |
| Surgery Physician | 208600000X | MD2015-0624 | NM | Primary |
Addresses
Primary practice location
34 Mountain Blvd Ste 203
Warren, NJ 07059-2640
Mailing address
7125 Orchard Lake Rd
Ste 316
West Bloomfield, MI 48322-3629
Phone (866) 607-2308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007313004 | Medicaid | VA | |
| 33883025 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101231512 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Family Medicine Ass | Past | Accepting new patients | |
| Fred J Nahas MD PA | Surgery | Past | Accepting new patients |
| Centra Health Professional Services, LLC | Surgery | Past | Accepting new patients |
| Pottstown Clinic Company LLC | Surgery | Past | Accepting new patients |
| Hill & Kittrell, PLLC | Surgery | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Surgery Physician
- Somers Point, NJ
- NPI 1427224310
-
- Family Medicine Physician
- Somers Point, NJ
- NPI 1003851759
-
dba Surgical Associates of Central Virginia
- Colon & Rectal Surgery Physician
- Lynchburg, VA
- NPI 1578744231
-
dba Emergency Medicine Pottstown Tower Health Medical Group
- Family Medicine Physician
- Pottstown, PA
- NPI 1649341934
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1366496267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7125 ORCHARD LAKE RD",
"address_2": "STE 316",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223629",
"telephone_number": "866-607-2308",
"fax_number": "248-855-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 MOUNTAIN BLVD STE 203",
"city": "WARREN",
"state": "NJ",
"postal_code": "070592640",
"telephone_number": "668-607-2308",
"fax_number": "248-855-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATLEY",
"first_name": "JERRY",
"middle_name": "O",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101231512",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "MD2015-0624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007313004",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33883025",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.