MEDICARE: DANIEL E BASSI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	SP021764	PA
2	363LG0600X	Gerontology Nurse Practitioner	SP029684	PA

General Provider Information

NPI Number	:	1215546668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL E BASSI

Provider Business Mailing Address
First Line	:	935 IRVIN RD
Second Line	:
City	:	HUNTINGDON VALLEY
State	:	PA
Zip	:	19006-8505
Country	:	US
Telephone Number	:	267-262-3867
Fax Number	:

Provider Business Practice Location Address
First Line	:	511 SECOND STREET PIKE
Second Line	:
City	:	SOUTHAMPTON
State	:	PA
Zip	:	18966-3804
Country	:	US
Telephone Number	:	267-669-1660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2020
Last Update Date	:	03/30/2026

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Directions to “ DANIEL E BASSI ” Practice Location

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