Individual provider Active NPI

Watson R Jean-Baptiste, FNP

  • Family Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1487913737
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336691 Issued in NY
Practice address
210 Westchester Ave
White Plains, NY 10604-2901
Phone
(914) 681-3100
Fax
(914) 682-6588
NPI assigned
May 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336691 NY Primary

Addresses

Primary practice location

210 Westchester Ave
White Plains, NY 10604-2901

Mailing address

2700 Westchester Ave
Purchase, NY 10577-2547
Phone (914) 607-5730

Other identifiers 1

IdentifierTypeStateIssuer
03215435MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20180709000966 NY Practitioner - Nurse Practitioner 4183985146 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Beacon Health Medical PCGroup PAC ID 1658804760, 36 clinicians
Mark Ilyagu Medical PCGroup PAC ID 6800272477, 7 clinicians

Practice addresses (Care Compare)

New Rochelle, NY 10801
Phone (877) 258-6331

17 W 9TH St
Brooklyn, NY 11231-2501
Phone (718) 599-9090

2000 E Gun Hill Rd
Bronx, NY 10469-6016
Phone (717) 716-7107

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F336691NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Py Medical Services of Ny PLLC CurrentSince Apr 23, 2023 Accepting new patients
Forest Hills Dermatology Group PLLC CurrentSince Aug 22, 2018 Accepting new patients
Mark Ilyagu Medical PC CurrentSince Dec 31, 2025 Accepting new patients
Rockwell Health LLC CurrentSince Apr 29, 2024 Accepting new patients
Parcare Community Health Network Inc CurrentSince Apr 1, 2020 Accepting new patients
Parcare Community Health Network Inc CurrentSince Apr 1, 2020 Accepting new patients
RLD Medical Services, PC CurrentSince Aug 22, 2018 Accepting new patients
Beacon Health Medical PC CurrentSince Feb 1, 2025 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Apr 1, 2020 Accepting new patients
Ilyagu Medical PC Past Accepting new patients

Locations

3525 Baychester Ave
Bronx, NY 10466
Phone 71867063001740

2000 E Gun Hill Rd
Bronx, NY 10469
Phone (718) 320-0400

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

3519 Bainbridge Ave
Bronx, NY 10467
Phone (718) 655-1991

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090

1555 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 307-5460

202 Caton Ave
Brooklyn, NY 11218

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

9131 175th St
#13292
Jamaica, NY 11432

645 W Broadway
Long Beach, NY 11561
Phone (516) 431-4400

228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

822 Cedar Ave
#13282
Niagara Falls, NY 14301
Phone (716) 272-1207

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

200 Lafayette Ave
Staten Island, NY 10301
Phone (718) 448-9000

45 S Route 9W
Ste 41
West Haverstraw, NY 10993
Phone (845) 428-9006

65 Ashburton Ave
#13202
Yonkers, NY 10701
Phone (914) 963-4572

65 Ashburton Ave
Yonkers, NY 10701
Phone (914) 729-4916

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHFGDD

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1487913737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTCHESTER AVE",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772547",
            "telephone_number": "914-607-5730",
            "fax_number": "914-457-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WESTCHESTER AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042901",
            "telephone_number": "914-681-3100",
            "fax_number": "914-682-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-BAPTISTE",
        "first_name": "WATSON",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03215435",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.