Organization Active NPI

Neurological Associates of Western Ma

  • Neurology Physician
  • Holyoke, MA
National Provider Identifier
1649347659
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGICAL ASSOCIATES OF WESTERN MA
Practice address
15 Hospital Dr
Suite 401
Holyoke, MA 01040-6606
Phone
(413) 534-5135
Fax
(413) 534-3328
NPI assigned
Nov 29, 2006
Last updated
Jun 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Mohammad Ali Hazratji, MD
Title
Partner
Phone
(413) 534-5135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

15 Hospital Dr
Suite 401
Holyoke, MA 01040-6606

Mailing address

15 Hospital Dr
Suite 401
Holyoke, MA 01040-6606
Phone (413) 534-5135

Other identifiers 4

IdentifierTypeStateIssuer
9715461MedicaidMA
130000085OtherCTMEDICARE OF CT
DB5703OtherMARAILROAD MEDICARE
M17327OtherMABS

National Provider Directory

National Provider Directory

Locations

15 Hospital Dr
Ste 401
Holyoke, MA 01040
Phone (413) 534-5134

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1649347659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "address_2": "SUITE 401",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406606",
            "telephone_number": "413-534-5135",
            "fax_number": "413-534-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "address_2": "SUITE 401",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406606",
            "telephone_number": "413-534-5135",
            "fax_number": "413-534-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL ASSOCIATES OF WESTERN MA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "HAZRATJI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "413-534-5135",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9715461",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OF CT",
            "identifier": "130000085",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB5703",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "M17327",
            "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 Jun 5, 2008; 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.