Active NPI
Albert F. Ventulett, PA
- Physician Assistant
- Chicopee, MA
National Provider Identifier
1639183601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 252
- Practice address
- 444 Montgomery St
Chicopee, MA 01020-1969 - Phone
- (413) 594-3111
- Fax
- (413) 598-7115
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 252 | MA | Primary |
Addresses
Primary practice location
444 Montgomery St
Chicopee, MA 01020-1969
Mailing address
444 Montgomery St
Chicopee, MA 01020-1969
Phone (413) 594-3111
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252 | MA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mwa, PC | Past | Accepting new patients |
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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Chicopee, MA
- NPI 1427280791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1639183601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 MONTGOMERY ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201969",
"telephone_number": "413-594-3111",
"fax_number": "413-598-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 MONTGOMERY ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201969",
"telephone_number": "413-594-3111",
"fax_number": "413-598-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTULETT",
"first_name": "ALBERT",
"middle_name": "F.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.