Individual provider Active NPI

Jackie J Battista, DO

  • Surgery Physician
  • Far Rockaway, NY
National Provider Identifier
1649617879
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
276859 Issued in NY
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

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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. 186 clinicians
Copley Hospital Inc 61 clinicians

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 Hospital, Rutland, VT, CCN 470005

Merit-based Incentive Payment System (MIPS)

Final score
85.64 of 100Reported as group
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

LicenseStateTypeSpecialty
276859NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Rutland Hospital, Inc. CurrentSince May 9, 2024 Accepting new patients
Copley Hospital, Inc CurrentSince Oct 3, 2024 Accepting new patients
Copley Hospital Inc CurrentSince Oct 3, 2024 Accepting new patients
Rutland Hospital, Inc. CurrentSince May 9, 2024 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

  • Direct secure messaging: 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.

View all 14

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

Verify at the official NPI Registry.