Active NPI
Jose E Llorens, MD
- Pediatrics Physician
- Springfield, MA
National Provider Identifier
1407844707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 53947
- Practice address
- 84 Chapin Ter
Springfield, MA 01107-1706 - Phone
- (413) 733-6595
- Fax
- (413) 733-4544
- NPI assigned
- Oct 11, 2005
- 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 | 53947 | MA | Primary |
Addresses
Primary practice location
84 Chapin Ter
Springfield, MA 01107-1706
Mailing address
84 Chapin Ter
Springfield, MA 01107-1706
Phone (413) 733-6595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6186882 | 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 |
|---|---|---|---|
| 53947 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1407844707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 CHAPIN TER",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071706",
"telephone_number": "413-733-6595",
"fax_number": "413-733-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 CHAPIN TER",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071706",
"telephone_number": "413-733-6595",
"fax_number": "413-733-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLORENS",
"first_name": "JOSE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "53947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6186882",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.