Individual provider Active NPI

John James Glogowski, NP-BC

  • Family Nurse Practitioner
  • Chicopee, MA
National Provider Identifier
1588930994
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2277407 Issued in MA
Practice address
262 New Ludlow Road
Chicopee Medical Center
Chicopee, MA 01020
Phone
(413) 552-3250
Fax
(413) 552-3255
NPI assigned
Mar 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2277407 MA Primary

Addresses

Primary practice location

262 New Ludlow Road
Chicopee Medical Center
Chicopee, MA 01020

Mailing address

260 New Ludlow Road
Western Mass Physician Associates, Inc
Chicopee, MA 01020
Phone (413) 534-2622

Other identifiers 1

IdentifierTypeStateIssuer
110092405AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120718000199 MA Practitioner - Nurse Practitioner 1254597370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10 Hospital Dr
Holyoke, MA 01040-6603

262 New Ludlow Rd
Chicopee, MA 01020-4324

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2697

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2277407MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc CurrentSince Jun 4, 2012 Accepting new patients
Holyoke Medical Center, Inc. Current Accepting new patients
Western Mass Physician Associates Inc CurrentSince Jun 4, 2012 Accepting new patients
Western Mass Physician Associates Inc Current Accepting new patients

Locations

1962 Memorial Dr
Chicopee, MA 01020
Phone (413) 534-2759

260 New Ludlow Rd
Chicopee, MA 01020
Phone (413) 533-3470

262 New Ludlow Rd
Chicopee, MA 01020
Phone (413) 535-4714

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

Interoperability endpoints

  • Direct secure messaging: john.glogowski@direct.hmcs.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1588930994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NEW LUDLOW ROAD",
            "address_2": "WESTERN MASS PHYSICIAN ASSOCIATES, INC",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "01020",
            "telephone_number": "413-534-2622",
            "fax_number": "413-534-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 NEW LUDLOW ROAD",
            "address_2": "CHICOPEE MEDICAL CENTER",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "01020",
            "telephone_number": "413-552-3250",
            "fax_number": "413-552-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOGOWSKI",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2277407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110092405A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

Verify at the official NPI Registry.