Nichola Kim Dibattista, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA052355 Issued in PA

Practice address

201 Reeceville Rd
Coatesville, PA 19320-1542

Phone

(610) 383-8518

Fax

(610) 384-2597

NPI assigned

Aug 9, 2006

Last updated

Nov 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Emergency Care Specialists, PC

  • Emergency Medicine Physician
  • West Chester, PA
  • NPI 1023044278
  Medicare reassignment
• Main Line Emergency Med Associates LLC

  • Emergency Medicine Physician
  • Paoli, PA
  • NPI 1316919368
  Medicare reassignment
• Atlantic Physician Services of Maryland, P.C.

  • Physician Assistant
  • Wilmington, DE
  • NPI 1730129594

  PA

  Medicare reassignment
• Atlantic Physician Services of Maryland, PC

  • Physician Assistant
  • Baltimore, MD
  • NPI 1174632376
  NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1396755690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 THORNTON RD",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190613127",
            "telephone_number": "248-980-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 REECEVILLE RD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201542",
            "telephone_number": "610-383-8518",
            "fax_number": "610-384-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBATTISTA",
        "first_name": "NICHOLA",
        "middle_name": "KIM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAT'L COMM CERT OF PA",
            "identifier": "1059459",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin J Deangelis, DPM
• Cynthia Louise Deangelo, LPC
• Regina Devine, MSN, CRNP
• Martha Mary Di Prinzio, MA
• Kadiatou Diallo
• Gwendolyn M. Dickinson, PA-C
• Renee Dileo, PA-C
• Sandy Ding, DDS
• Hunter Disciullo, PT, DPT
• Jeanine Distefano, R.PH., J.D.

• Physician Assistant in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.