Active NPI
Holyoke Pediatric Associates, LLP
- Pediatrics Physician
- Holyoke, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- HOLYOKE PEDIATRIC ASSOCIATES, LLP
- Practice address
- 150 Lower Westfield Rd
Ste1
Holyoke, MA 01040-2767 - Phone
- (413) 536-2393
- Fax
- (413) 536-1087
- NPI assigned
- Mar 7, 2006
- Last updated
- Apr 23, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Duquette
- Title
- Credentialing
- Phone
- (413) 313-0236
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
150 Lower Westfield Rd
Ste1
Holyoke, MA 01040-2767
Mailing address
150 Lower Westfield Rd
Ste1
Holyoke, MA 01040-2767
Phone (413) 536-2393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9703942 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0672325 | Holyoke Pediatric Associates, LLP | Certificate of waiver | Feb 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
150 Lower Westfield Rd
Ste 1
Holyoke, MA 01040
Phone (413) 536-2393
488 Newton St
South Hadley, MA 01075
Phone (413) 532-9092
Practitioners & affiliated clinicians
Practitioners 31
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555977600000",
"number": "1568439818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 LOWER WESTFIELD RD",
"address_2": "STE1",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010402767",
"telephone_number": "413-536-2393",
"fax_number": "413-536-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 LOWER WESTFIELD RD",
"address_2": "STE1",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010402767",
"telephone_number": "413-536-2393",
"fax_number": "413-536-1087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLYOKE PEDIATRIC ASSOCIATES, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-07",
"last_updated": "2019-04-23",
"status": "A",
"authorized_official_last_name": "DUQUETTE",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "413-313-0236"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9703942",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holyoke, MA
- Holyoke Medical Center, Inc.
- Holyoke Mental Health (MiraVista Behavioral Health Center)
- Holyoke MMTP, LLC (MiraVista Behavioral Health Center)
- Holyoke Operator LLC (MiraVista Behavioral Health Center)
- Holyoke Orthopedics, Inc.
- Holyoke Radiologists Inc
- Holyoke Retirement Community Inc. (Loomis House)
- Holyoke Smiles Youth Dentistry, LLC
- Holyoke Sud, LLC (MiraVista Behavioral Health Center)
- Holyoke Visiting Nurse Association, Inc. (Holyoke VNA & Hospice Life Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.