David J Badolato, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD018235E Issued in PA

Practice address

1244 Fort Washington Ave
Suite N1
Fort Washington, PA 19034

Phone

(215) 646-1686

Fax

(215) 628-4956

NPI assigned

Jul 12, 2006

Last updated

Nov 30, 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Concierge Medical Services of Family Practice Assoc of Upper Dublin

  • Family Medicine Physician
  • Fort Washington, PA
  • NPI 1245347319
  NPD (past) Authorized official
• Concierge Medical Services of Family Practice of Upper Dublin

  • Family Medicine Physician
  • Fort Washington, PA
  • NPI 1871527119
  NPD (past) Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1710912977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 FORT WASHINGTON AVE",
            "address_2": "SUITE N1",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "19034",
            "telephone_number": "215-646-6504",
            "fax_number": "215-628-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 FORT WASHINGTON AVE",
            "address_2": "SUITE N1",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "19034",
            "telephone_number": "215-646-1686",
            "fax_number": "215-628-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADOLATO",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD018235E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Michael Asztalos, RN, FNP-BC
• Daniel Auerbach, LCSW
• Alexander L Avallon Jr., ATC
• Axia Abington Surgery Center, LLC
• Saida Azimbegova, CLINICIAN
• Yeong J Bae, LCSW, M.DIV
• Baek Dental Group (Ryan Baek Dental)
• Thomas J Balshi, D.D.S.
• Casey Lee Barry, MD
• Katherine Elizabeth Bartosik, MED, ATC

• Family Medicine Physician in Fort Washington, PA
• Providers in Fort Washington, 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 Nov 30, 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.