Individual provider Active NPI

Jose Eugenio Batlle, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1639122575
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212090 Issued in NY
Practice address
325 Audubon Ave
New York, NY 10033-4245
Phone
(201) 456-1342
Fax
(646) 682-9797
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 212090 NY Primary

Addresses

Primary practice location

325 Audubon Ave
New York, NY 10033-4245

Mailing address

325 Audubon Ave
New York, NY 10033-4245
Phone (201) 456-1342

Other identifiers 1

IdentifierTypeStateIssuer
212090OtherNYLICENSE

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Audubon Primary Care Medicine PLLC Internal Medicine CurrentSince Apr 27, 2025 Accepting new patients

Locations

325 Audubon Ave
New York, NY 10033
Phone (718) 664-7679

Networks

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

Organizations & group practices 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1639122575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 AUDUBON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334245",
            "telephone_number": "201-456-1342",
            "fax_number": "646-682-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 AUDUBON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334245",
            "telephone_number": "201-456-1342",
            "fax_number": "646-682-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATLLE",
        "first_name": "JOSE",
        "middle_name": "EUGENIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "212090",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.