Jerry O Batley Jr., MD
Individual provider Active NPI Surgery Physician · Warren, NJ
NPI 1366496267 · NPPES record last updated Aug 11, 2021
Key facts
- NPI
- 1366496267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD2015-0624 (NM)
- Practice address
- 34 Mountain Blvd Ste 203
Warren, NJ 07059-2640 - Phone
- (668) 607-2308
- Fax
- (248) 855-5455
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101231512 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill & Kittrell, PLLC | Surgery | Past |
Accepting new patients |
| Shore Family Medicine Ass | Past | Accepting new patients | |
| Centra Health Professional Services, LLC | Surgery | Past | Accepting new patients |
| Pottstown Clinic Company LLC | Surgery | Past |
Accepting new patients |
| Fred J Nahas MD PA | Surgery | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101231512 | VA | |
| Surgery Physician | 208600000X | MD2015-0624 | NM | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33883025 | Medicaid | NM | |
| 007313004 | Medicaid | VA |
Other providers in Warren, NJ
- Balance Psychiatry Services PC
- Susan Barasch
- James Baratta
- Joel F Barsky
- Harmeetinder Singh Bassi
- Chhaya Batra
- Shelby J Bauer
- Xenia Baumert
- Beacon Specialized Living New Jersey, Inc.
- Nosheen Beavers
All providers in Warren, NJ · Surgery Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.