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NATIVIDAD D BATISTA HERASME
NPI 1326815424
Family Medicine in Paterson, NJ

Active since December 08, 2023PECOS Enrolled
505 15TH AVE, PATERSON, NJ 07504(978) 609-4511 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Natividad D Batista Herasme NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATIVIDAD D BATISTA HERASME (NPI 1326815424) is an individual family medicine provider in Paterson, New Jersey, licensed in New Jersey (F11230774) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1326815424
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNATIVIDAD D BATISTA HERASME
Location Address505 15TH AVEPaterson, NJ 07504-1541
Mailing Address505 15th AvePaterson, NJ 07504-1541 · (978) 609-4511
Phone(978) 609-4511
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 8, 2023
NPPES CertifiedDecember 7, 2023
✔ NPI 1326815424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · F11230774
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
505 15TH AVE, Paterson, NJ 07504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natividad D Batista Herasme is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284139528
PECOS Enrollment IDI20250926000617
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Natividad Batista Herasme reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

G & s Medical Associates LLC
0.4 mi
Internal Medicine
606 BROADWAY
Paterson, NJ 07514
  • Reassigned Medicare billing, New Jersey enrollment
  • 40 clinicians in this Medicare group
NPI 1982982336 (973) 523-1800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Natividad Batista Herasme's NPI number?

The NPI number for Natividad Batista Herasme is 1326815424. It was assigned to this individual provider in the NPPES registry on December 8, 2023.

Where is Natividad Batista Herasme located?

Natividad Batista Herasme practices at 505 15th Ave, Paterson, NJ 07504. The listed phone number is (978) 609-4511.

What is Natividad Batista Herasme's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Natividad Batista Herasme enrolled in Medicare?

Yes. Natividad Batista Herasme is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Natividad Batista Herasme's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Natividad Batista Herasme reassigns Medicare benefits to G & s Medical Associates LLC (Paterson, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Natividad Batista Herasme's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Natividad Batista Herasme accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Natividad Batista Herasme as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Natividad Batista Herasme was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.