Individual provider Active NPI

Vincent E Baldino, D.O.

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1801876032
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS003706L Issued in PA
Practice address
1701 W Ritner St
Philadelphia, PA 19145-4324
Phone
(215) 336-2145
Fax
(215) 336-5732
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS003706L PA Primary

Addresses

Primary practice location

1701 W Ritner St
Philadelphia, PA 19145-4324

Mailing address

1701 W Ritner St
Philadelphia, PA 19145-4324
Phone (215) 336-2145

Other identifiers 1

IdentifierTypeStateIssuer
0588052MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100316000441 PA Practitioner - General Practice 0143355123 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS003706LPAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Balmont Family Practice Group P.C. Current Accepting new patients

Locations

1701 W Ritner St
Philadelphia, PA 19145
Phone (215) 336-2145

Interoperability endpoints

  • Direct secure messaging: vincent.baldino@prem.eclinicaldirectplus.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1801876032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W RITNER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454324",
            "telephone_number": "215-336-2145",
            "fax_number": "215-336-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W RITNER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454324",
            "telephone_number": "215-336-2145",
            "fax_number": "215-336-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDINO",
        "first_name": "VINCENT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS003706L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0588052",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.