Organization Active NPI

Western Massachusetts Podiatry Associates, P.C.

  • Podiatrist
  • East Longmeadow, MA
National Provider Identifier
1801884721
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2038 Issued in MA
Legal business name
WESTERN MASSACHUSETTS PODIATRY ASSOCIATES, P.C.
Practice address
264 N Main St
Suite 11
East Longmeadow, MA 01028-1815
Phone
(413) 525-4373
Fax
(413) 525-9098
NPI assigned
Oct 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Dr. Evan P Cwass, D.P.M.NPI 1407921687
Title
Owner
Phone
(413) 525-4373

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 2038 MA Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 2189 MA

Addresses

Primary practice location

264 N Main St
Suite 11
East Longmeadow, MA 01028-1815

Mailing address

264 N Main St
Suite 11
East Longmeadow, MA 01028-1815
Phone (413) 525-4373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060405000543 MA Part B Supplier - Clinic/Group Practice 8022026814 Receives reassigned benefits from 2 practitioners
Practice locations: Belchertown, MA; Northampton, MA; East Longmeadow, MA
O20100930032032 MA DME Supplier - Physician - Podiatry 8022026814 Practice locations: East Longmeadow, MA

National Provider Directory

National Provider Directory

Locations

264 N Main St
Ste 11
East Longmeadow, MA 01028
Phone (413) 525-4373

325B King St
Northampton, MA 01060
Phone (413) 387-4100

325 King St
Northampton, MA 01060
Phone (413) 584-1588

85 South St
Ste 3
Ware, MA 01082

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1801884721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 N MAIN ST",
            "address_2": "SUITE 11",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281815",
            "telephone_number": "413-525-4373",
            "fax_number": "413-525-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 N MAIN ST",
            "address_2": "SUITE 11",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281815",
            "telephone_number": "413-525-4373",
            "fax_number": "413-525-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MASSACHUSETTS PODIATRY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "CWASS",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-525-4373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2038",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2189",
            "primary": false
        }
    ],
    "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 Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.