NPIMap

Organization Active NPI

Pediatric Services of Springfield, Inc.

  • Pediatric Adolescent Medicine Physician
  • East Longmeadow, MA
National Provider Identifier
1790886091
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
45445 Issued in MA
Legal business name
PEDIATRIC SERVICES OF SPRINGFIELD, INC.
Practice address
250 North Main Street
Ste. 101
East Longmeadow, MA 01028
Phone
(413) 525-1870
Fax
(413) 525-3883
NPI assigned
Sep 26, 2006
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Mr. Neil NordstromNPI 1174876981
Title
DNP/Owner
Phone
(413) 525-1870

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
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 45445 MA Primary

Addresses

Primary practice location

250 North Main Street
Ste. 101
East Longmeadow, MA 01028

Mailing address

250 North Main Street
Ste. 101
East Longmeadow, MA 01028
Phone (413) 525-1870

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2292398Pediatric Services of Springfield Inc250 North Main St, East Longmeadow, MA 01028Certificate of waiverOct 24, 2027

National Provider Directory

National Provider Directory

Locations

250 N Main St
East Longmeadow, MA 01028
Phone (413) 224-1493

250 N Main St
Ste 101
East Longmeadow, MA 01028
Phone (413) 525-1870

35 Post Office Park
Wilbraham, MA 01095

35 Post Office Park
Ste 3501
Wilbraham, MA 01095

35 Post Office Park
Ste 3501D
Wilbraham, MA 01095

70 Post Office Park
Ste 3501
Wilbraham, MA 01095

70 Post Office Park
Ste 7001
Wilbraham, MA 01095

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/374254e6-8a71-4f61-90b5-064a630a4cd8/

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1790886091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NORTH MAIN STREET",
            "address_2": "STE. 101",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-525-1870",
            "fax_number": "413-525-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NORTH MAIN STREET",
            "address_2": "STE. 101",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-525-1870",
            "fax_number": "413-525-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SERVICES OF SPRINGFIELD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "NORDSTROM",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "DNP/OWNER",
        "authorized_official_telephone_number": "413-525-1870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MA",
            "license": "45445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.