Stafford Pediatric Associates

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

36150 Issued in MA

Legal business name

STAFFORD PEDIATRIC ASSOCIATES

Practice address

299 Carew St
Suite 430
Springfield, MA 01104-2301

Phone

(413) 734-6461

Fax

(413) 734-4540

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Regina Kruczynska, MD

Title

Medical Director

Phone

(413) 734-6461

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sharon June Laurin, NP

  • Family Nurse Practitioner
  • Springfield, MA
  • NPI 1710914858
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235144064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CAREW ST",
            "address_2": "SUITE 430",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042301",
            "telephone_number": "413-734-6461",
            "fax_number": "413-734-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CAREW ST",
            "address_2": "SUITE 430",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042301",
            "telephone_number": "413-734-6461",
            "fax_number": "413-734-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUCZYNSKA",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "413-734-6461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MA",
            "license": "36150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Luke'S Home
• Tina St. Onge
• Jamie M. St. Peter, MASTER OF EDUCATION
• Megan Mary St. Pierre, LCSW
• Kristine Mary Stack, RN
• Daniel Staiculescu, DO
• Jareth Jamille Staine
• Shauna-Gaye Amoyi Staine, M.ED
• Faith T. Stair, MS, LMHC
• Jerry P Stanczak

• Pediatric Adolescent Medicine Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Pediatric Adolescent Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.