Individual provider Active NPI

Paul Joseph Batastini, BS, DDS, FACD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cherry Hill, NJ
National Provider Identifier
1861629669
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22D100713200 Issued in NJ
Practice address
69 Berlin Rd
Cherry Hill, NJ 08034-3572
Phone
(856) 428-1888
Fax
(856) 354-2081
NPI assigned
Jun 18, 2009
Last updated
Jun 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22D100713200 NJ Primary

Addresses

Primary practice location

69 Berlin Rd
Cherry Hill, NJ 08034-3572

Mailing address

69 Berlin Rd
Cherry Hill, NJ 08034-3572
Phone (856) 428-1888

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
22D100713200NJMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1861629669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 BERLIN RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343572",
            "telephone_number": "856-428-1888",
            "fax_number": "856-354-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 BERLIN RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343572",
            "telephone_number": "856-428-1888",
            "fax_number": "856-354-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATASTINI",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "BS, DDS, FACD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22D100713200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.