Individual provider Active NPI

Janice P Pastuszak, NP

  • Family Nurse Practitioner
  • Leeds, MA
National Provider Identifier
1043324403
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
98655 Issued in MA
Practice address
421 N. Main Street
Leeds, MA 01053
Phone
(413) 584-4040
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 98655 MA Primary

Addresses

Primary practice location

421 N. Main Street
Leeds, MA 01053

Mailing address

1120 Parker Street
Springfield, MA 01129-1004
Phone (413) 782-2990

Other names 1

  • Ms. Janice P Pastuszak Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
98655MAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1043324403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 PARKER STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011291004",
            "telephone_number": "413-782-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N. MAIN STREET",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "01053",
            "telephone_number": "413-584-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTUSZAK",
        "first_name": "JANICE",
        "middle_name": "P",
        "name_prefix": "Prof.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "98655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "PASTUSZAK",
            "middle_name": "P",
            "prefix": "MS.",
            "credential": "MS, APRN, BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Leeds, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.