Individual provider Active NPI

Sanjay Batta, M.D

  • Internal Medicine Physician
  • Elizabeth, NJ
National Provider Identifier
1669693552
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA65723 Issued in NJ
Practice address
240 Williamson St Ste 506
Elizabeth, NJ 07202-3673
Phone
(908) 436-9494
Fax
(908) 436-9299
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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 MA65723 NJ Primary

Addresses

Primary practice location

240 Williamson St Ste 506
Elizabeth, NJ 07202-3673

Mailing address

240 Williamson St Ste 506
Elizabeth, NJ 07202-3673
Phone (908) 436-9494

Other identifiers 1

IdentifierTypeStateIssuer
07384904MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110502000252 NJ Practitioner - Internal Medicine 0547157802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 Williamson St
Elizabeth, NJ 07202-3673
Phone (908) 436-9494

Hospital & facility affiliations

  • Robert Wood Johnson Visiting Nurses, Inc Home health agency, North Brunswick, NJ, CCN 317079
  • Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA65723NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Primary Care, LLC Internal Medicine CurrentSince Jul 1, 2003 Accepting new patients
Essex Emergency Associates, P.a. Past Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients

Locations

240 Williamson St
Ste 206
Elizabeth, NJ 07202
Phone (908) 353-6668

240 Williamson St
Ste 506
Elizabeth, NJ 07202
Phone (908) 352-4579

Interoperability endpoints

  • Direct secure messaging: batta.sanjay.002.0300135@dsb.meditab.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1669693552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST STE 506",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023673",
            "telephone_number": "908-436-9494",
            "fax_number": "908-436-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST STE 506",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023673",
            "telephone_number": "908-436-9494",
            "fax_number": "908-436-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTA",
        "first_name": "SANJAY",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA65723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07384904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.