Individual provider Active NPI

Carl John Battista, MD

  • Pediatrics Physician
  • Oradell, NJ
National Provider Identifier
1386700987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA52417 Issued in NJ
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MA52417NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.