Baseline Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

06002 Issued in PA

Legal business name

BASELINE AMBULANCE

Practice address

13440 Damar Dr
R-16
Philadelphia, PA 19116-1817

Phone

(215) 464-5911

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Jenniffer Amodei

Title

President

Phone

(215) 464-5911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083672794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13440 DAMAR DR",
            "address_2": "R-16",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161817",
            "telephone_number": "215-464-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13440 DAMAR DR",
            "address_2": "R-16",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161817",
            "telephone_number": "215-464-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASELINE AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMODEI",
        "authorized_official_first_name": "JENNIFFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-464-5911"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "06002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibrahim Karaca Basaran, M,D
• Benji Marie Basarte
• Ruth Basco
• Nicholas Alexander Bascou, MD
• Judith Anne Baseden, CRNP
• Patricia Ann Basenfelder
• Hannah Bash
• Jamez Amour Bash, LPC
• Susan Bash, MSW
• Aiesha Basha, MD

• Land Ambulance in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.