Daniel John Bachovin Jr., PA-C, MS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA054540 Issued in PA

Practice address

5800 Ridge Ave
Roxborough Memorial Hospital Emergency Department
Philadelphia, PA 19128-1737

Phone

(302) 379-4060

NPI assigned

Oct 5, 2010

Last updated

Oct 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Care Services of Pennsylvania, P.C.

  • Emergency Medicine Physician
  • Langhorne, PA
  • NPI 1114955010
  Medicare reassignment
• Emergency Care Specialists, PC

  • Emergency Medicine Physician
  • West Chester, PA
  • NPI 1023044278
  Medicare reassignment
• Main Line Emergency Med Associates LLC

  • Emergency Medicine Physician
  • Paoli, PA
  • NPI 1316919368
  Medicare reassignment
• Emergency Care Services of Pennsylvania, P.C.

  • Emergency Medicine Physician
  • Wilkes Barre, PA
  • NPI 1235374927

  Physician Assistant

  NPD
• Roxborough Emergency Physician Associates, LLC

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1538250477
  NPD (past)

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1558670729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 KALOS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 RIDGE AVE",
            "address_2": "ROXBOROUGH MEMORIAL HOSPITAL EMERGENCY DEPARTMENT",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281737",
            "telephone_number": "302-379-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHOVIN",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophea Bachalis, CRNP
• Sara Bachani, M.D.
• Lizamarie Bachier-Rodriguez, MD
• Ahmed M Bachir, PHARMD
• Nackea Rose Bachman, PA
• Nicole Marie Bachovin, PA-C
• Patricia Y Bachstein
• Jill Morgan Bachurski, M.S., CCC-SLP
• Bradley M Bacik, D.O.
• Back 2 Healthy Home Care LLC

• Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.