Individual provider Active NPI

Amy Batterman, MD

  • Dermatology Physician
  • Brooklyn, NY
National Provider Identifier
1710033113
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
164230 Issued in NY
Practice address
2044 Ocean Ave
Ste A3
Brooklyn, NY 11230-7328
Phone
(718) 377-3710
Fax
(718) 377-1697
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 164230 NY Primary

Addresses

Primary practice location

2044 Ocean Ave
Ste A3
Brooklyn, NY 11230-7328

Mailing address

115 Falmouth Street
Bklyn, NY 11235
Phone (718) 377-3440

Other identifiers 1

IdentifierTypeStateIssuer
01125626MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110623000657 NY Practitioner - Dermatology 5597943498 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2044 Ocean Ave
Suite A3
Brooklyn, NY 11230-7328
Phone (718) 377-3710

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions599
Removal or shaving of skin growth73
Skin biopsy75

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1710033113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FALMOUTH STREET",
            "city": "BKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-377-3440",
            "fax_number": "718-377-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 OCEAN AVE",
            "address_2": "STE A3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307328",
            "telephone_number": "718-377-3710",
            "fax_number": "718-377-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTERMAN",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "164230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01125626",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.