Active NPI
Joan S Fine, M.D.
- Pediatric Adolescent Medicine Physician
- Longmeadow, MA
National Provider Identifier
1558338954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 039117
- Practice address
- 123 Dwight Rd
Suite 11
Longmeadow, MA 01106-1748 - Phone
- (413) 567-1031
- Fax
- (413) 567-7683
- NPI assigned
- Mar 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 52269 | MA | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 52269 | MA | |
| Pediatrics Physician | 208000000X | 039117 | CT | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 039117 | CT | Primary |
Addresses
Primary practice location
123 Dwight Rd
Suite 11
Longmeadow, MA 01106-1748
Mailing address
123 Dwight Rd
Suite 11
Longmeadow, MA 01106-1748
Phone (413) 567-1031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6184928 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039117 | CT | MD | Pediatrics Physician |
| 52269 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Valley Pediatrics, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1177/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Longmeadow, MA
- NPI 1942371737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1558338954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 DWIGHT RD",
"address_2": "SUITE 11",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061748",
"telephone_number": "413-567-1031",
"fax_number": "413-567-7683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 DWIGHT RD",
"address_2": "SUITE 11",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061748",
"telephone_number": "413-567-1031",
"fax_number": "413-567-7683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "JOAN",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "52269",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MA",
"license": "52269",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "039117",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CT",
"license": "039117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6184928",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.