Active NPI
Joram H. Spivak, M.D.
- Pediatrics Physician
- Westfield, MA
National Provider Identifier
1285713131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 38164
- Practice address
- 70 Court St
Westfield, MA 01085-3521 - Phone
- (413) 562-5658
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 38164 | MA | Primary |
Addresses
Primary practice location
70 Court St
Westfield, MA 01085-3521
Mailing address
70 Court St
Westfield, MA 01085-3521
Phone (413) 562-5658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2087529 | Medicaid | MA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38164 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285713131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 COURT ST",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010853521",
"telephone_number": "413-562-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 COURT ST",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010853521",
"telephone_number": "413-562-5658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIVAK",
"first_name": "JORAM",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "38164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2087529",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.