Active NPI
Carl John Battista, MD
- Pediatrics Physician
- Oradell, NJ
National Provider Identifier
1386700987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA52417
- Practice address
- 550 Kinderkamack Rd
Suite 200
Oradell, NJ 07649-1500 - Phone
- (201) 634-1004
- Fax
- (201) 634-1028
- NPI assigned
- Dec 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA52417 | NJ | Primary |
Addresses
Primary practice location
550 Kinderkamack Rd
Suite 200
Oradell, NJ 07649-1500
Mailing address
550 Kinderkamack Rd
Suite 200
Oradell, NJ 07649-1500
Phone (201) 634-1004
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA52417 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivy Pediatrics, PA | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatric Adolescent Medicine Physician
- Oradell, NJ
- NPI 1225270143
-
- Pediatrics Physician
- Manalapan, NJ
- NPI 1871660407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386700987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 KINDERKAMACK RD",
"address_2": "SUITE 200",
"city": "ORADELL",
"state": "NJ",
"postal_code": "076491500",
"telephone_number": "201-634-1004",
"fax_number": "201-634-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 KINDERKAMACK RD",
"address_2": "SUITE 200",
"city": "ORADELL",
"state": "NJ",
"postal_code": "076491500",
"telephone_number": "201-634-1004",
"fax_number": "201-634-1028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTISTA",
"first_name": "CARL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA52417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oradell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.