Baldino Southwest Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS003706L Issued in PA

Legal business name

BALDINO SOUTHWEST FAMILY PRACTICE

Practice address

5737 Chester Ave
Philadelphia, PA 19143-5530

Phone

(215) 726-5600

Fax

(215) 727-3236

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vincent E Baldino, D.O.

Title

President

Phone

(215) 726-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477612653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 CHESTER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435530",
            "telephone_number": "215-726-5600",
            "fax_number": "215-727-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 CHESTER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435530",
            "telephone_number": "215-726-5600",
            "fax_number": "215-727-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDINO SOUTHWEST FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALDINO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-726-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003706L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0588052",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine M Baldassano-Fields
• Claudia F Baldassano, MD
• Robert N Baldassano, M.D.
• Michael P Baldassari
• Richard Atwater Balderston, M.D.
• Anna Rita Baldino, DO
• Michaela Maria Baldino, CRNP
• Sarah Elizabeth Baldino, MS LCGC
• Vincent E Baldino, D.O.
• Gregory Baldwin

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician 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.