Organization Active NPI

Aleksandr D Pugach MD

  • Internal Medicine Physician
  • Westfield, MA
National Provider Identifier
1164529392
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
157618 Issued in MA
Legal business name
ALEKSANDR D PUGACH MD
Practice address
70 Court St
Suite 4
Westfield, MA 01085-3521
Phone
(413) 562-5700
Fax
(413) 562-5765
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Alekdandr D Pugach, MD
Title
President
Phone
(413) 562-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 157618 MA Primary

Addresses

Primary practice location

70 Court St
Suite 4
Westfield, MA 01085-3521

Mailing address

70 Court St
Suite 4
Westfield, MA 01085-3521

Other identifiers 2

IdentifierTypeStateIssuer
9700030MedicaidMA
M17519OtherMABCBS

National Provider Directory

National Provider Directory

Locations

70 Court St
Ste 4
Westfield, MA 01085
Phone (413) 562-5700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1164529392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 COURT ST",
            "address_2": "SUITE 4",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 COURT ST",
            "address_2": "SUITE 4",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853521",
            "telephone_number": "413-562-5700",
            "fax_number": "413-562-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEKSANDR D PUGACH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "PUGACH",
        "authorized_official_first_name": "ALEKDANDR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-562-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "157618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9700030",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M17519",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.