NPIMap

Organization Active NPI

Pediatric Associates of Hampden County, Inc.

  • Pediatrics Physician
  • Westfield, MA
National Provider Identifier
1649336850
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC ASSOCIATES OF HAMPDEN COUNTY, INC.
Practice address
477 Southwick Rd
Westfield, MA 01085-4734
Phone
(413) 562-2813
Fax
(413) 568-4757
NPI assigned
Dec 29, 2006
Last updated
Sep 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Robert M Peskin, M.D.NPI 1679560049
Title
Physician
Phone
(413) 562-2813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA Primary

Addresses

Primary practice location

477 Southwick Rd
Westfield, MA 01085-4734

Mailing address

477 Southwick Rd
Westfield, MA 01085-4734
Phone (413) 562-2813

Other identifiers 1

IdentifierTypeStateIssuer
9718451MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Ascs Hampden Cnty2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

477 Southwick Rd
Westfield, MA 01085
Phone (413) 562-2813

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1649336850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 SOUTHWICK RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854734",
            "telephone_number": "413-562-2813",
            "fax_number": "413-568-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 SOUTHWICK RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854734",
            "telephone_number": "413-562-2813",
            "fax_number": "413-568-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF HAMPDEN COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "PESKIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "413-562-2813",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9718451",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.