Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justineann Batilo, AGNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1407676653

Justineann Batilo, AGNP-C is a Nurse Practitioner in Bayside, New York. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024

Practice location Address checks out

4119 Corporal Kennedy St # 1
Bayside, NY 11361-2757
Phone: (646) 436-0505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 311988 (NY)

Record details

NPI number1407676653
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedOctober 14, 2024
Last updated in NPPESOctober 14, 2024
Certification dateOctober 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Bayside