Janice Batista- Fernandez – Specialist

Key facts

NPI: 1639693161
Entity type: Individual (NPI type 1)
Primary specialty: Specialist 174400000X
Practice address: 1666 Hancock St
Ridgewood, NY 11385-4727
Phone: (718) 593-9331
NPI assigned: Jul 26, 2017
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist	174400000X		NY	Yes

Addresses

Primary practice location

1666 Hancock St
Ridgewood, NY 11385-4727

Mailing address

1666 Hancock St
Ridgewood, NY 11385-4727
Phone (718) 593-9331

Other identifiers

Identifier	Type	State	Issuer
XXXXXXXXXXXXXXX	Medicaid	NY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639693161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 HANCOCK ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854727",
            "telephone_number": "718-593-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 HANCOCK ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854727",
            "telephone_number": "718-593-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATISTA- FERNANDEZ",
        "first_name": "JANICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XXXXXXXXXXXXXXX",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

All providers in Ridgewood, NY · Specialist in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.