Active NPI
Jackie J Battista, DO
- Surgery Physician
- Far Rockaway, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 276859
- Practice address
- 327 Beach 19TH St
Department of Surgery
Far Rockaway, NY 11691-4423 - Phone
- (718) 869-7256
- Fax
- (718) 869-7834
- NPI assigned
- May 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 276859 | NY | Primary |
Addresses
Primary practice location
327 Beach 19TH St
Department of Surgery
Far Rockaway, NY 11691-4423
Mailing address
327 Beach 19TH St
Department of Surgery
Far Rockaway, NY 11691-4423
Phone (718) 869-7256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141014001973 | NY | Practitioner - General Surgery | 3173767068 | |
| I20240513003225 | VT | Practitioner - General Surgery | 3173767068 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Kansas City University of Physicians and Surgeons, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rutland Hospital, Inc.Copley Hospital Inc
Practice addresses (Care Compare)
160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111
528 Washington Hwy
Dept of General Surgery
Morrisville, VT 05661-8973
Phone (802) 888-8888
Hospital & facility affiliations
- Rutland Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.64 of 100
- Quality
- 64.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276859 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Copley Hospital, Inc. | Current | Accepting new patients | |
| Copley Hospital, Inc. | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Copley Hospital, Inc | Current | Accepting new patients | |
| Copley Hospital Inc | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Copley Hospital, Inc. | Current | Accepting new patients | |
| Copley Hospital, Inc. | Current | Accepting new patients | |
| Joseph B. Petelin, M.D., Chartered | Surgery | Past | Accepting new patients |
Locations
528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231
6 Commons St
Rutland, VT 05701
Phone (802) 773-1128
160 Allen St
Rutland, VT 05701
Interoperability endpoints
- jbattista200314@direct-guthrie.org
Organizations & group practices 14
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.
-
- Psychiatric Hospital Unit
- Rutland, VT
- NPI 1467416206
-
- Emergency Medicine Physician
- Rutland, VT
- NPI 1194789941
-
- Pharmacy
- Rutland, VT
- NPI 1295287936
-
- Specialist
- Rutland, VT
- NPI 1295799047
-
- Specialist
- Rutland, VT
- NPI 1578527578
-
- General Acute Care Hospital
- Rutland, VT
- NPI 1720042203
-
- Critical Access Hospital
- Morrisville, VT
- NPI 1588683544
-
- Critical Access Hospital
- Morrisville, VT
- NPI 1225391014
-
- Anesthesiology Physician
- Morrisville, VT
- NPI 1295774842
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1649617879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 BEACH 19TH ST",
"address_2": "DEPARTMENT OF SURGERY",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914423",
"telephone_number": "718-869-7256",
"fax_number": "718-869-7834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 BEACH 19TH ST",
"address_2": "DEPARTMENT OF SURGERY",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914423",
"telephone_number": "718-869-7256",
"fax_number": "718-869-7834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTISTA",
"first_name": "JACKIE",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-29",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "276859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.