MEDICARE: KEVEN GARCIA-BATISTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	37AC00916500	NJ

General Provider Information

NPI Number	:	1073471629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVEN GARCIA-BATISTA

Provider Business Mailing Address
First Line	:	507 BLOOMFIELD AVE APT 3E
Second Line	:
City	:	CALDWELL
State	:	NJ
Zip	:	07006-5414
Country	:	US
Telephone Number	:	914-479-9136
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 UPPER MONTCLAIR PLZ STE 22AND23
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07043-1343
Country	:	US
Telephone Number	:	973-433-5290
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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