Organization Active NPI

Holyoke Pediatric Associates, LLP

  • Pediatrics Physician
  • Holyoke, MA
National Provider Identifier
1568439818
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9703942MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051223000069 MA Part B Supplier - Clinic/Group Practice 9032131628 Receives reassigned benefits from 14 practitioners
Practice locations: Holyoke, MA; South Hadley, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0672325Holyoke Pediatric Associates, LLP150 Lower Westfield Road, Holyoke, MA 01040Certificate of waiverFeb 28, 2028

National Provider Directory

National Provider Directory

Locations

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.

View all 31

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

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.

Verify at the official NPI Registry.