Robert Mark Peskin, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

218317 Issued in MA

Practice address

477 Southwick Rd
Westfield, MA 01085-4734

Phone

(413) 562-5256

Fax

(413) 568-4757

NPI assigned

Sep 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rpeskin14061@direct.chppoc.masshiway.net

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.

• Pediatric Associates of Hampden County, Inc.

  • Pediatrics Physician
  • Westfield, MA
  • NPI 1649336850
  NPD (past) Authorized official

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1679560049",
    "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"
        },
        {
            "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": "413-562-5256",
            "fax_number": "413-568-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESKIN",
        "first_name": "ROBERT",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "218317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040719",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Elisabeth Perez, LPN
• Performance Rehabilitation of Western New England LLC (ATTAIN Therapy Fitness)
• Performance Rehabilitation of Western New England LLC (ATI Physical Therapy of Western Massachusets)
• Perry Endodontics, P.C.
• Elizabeth Shin Perry, DMD
• Peter E Pascal MD LLC
• Katharine Petersen
• David B. Peterson, MD
• Jessica Amy Phelps, MS, OTR/L
• Physical Therapy Partners, Inc.

• Pediatrics Physician in Westfield, MA
• Providers in Westfield, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.