Provider Demographics
NPI:1215800016
Name:BATAVIA, SAMANTHA LEIGH (RN, BSN)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:LEIGH
Last Name:BATAVIA
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:BATAVIA
Other - Last Name:LEVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14 BOURBON ST
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-5472
Mailing Address - Country:US
Mailing Address - Phone:973-534-9695
Mailing Address - Fax:
Practice Address - Street 1:61 W 23RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4205
Practice Address - Country:US
Practice Address - Phone:973-534-9695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY859843363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health