Organization Active NPI

Andrew B Chertoff MDPC

  • Orthopaedic Hand Surgery Physician
  • Holyoke, MA
National Provider Identifier
1881878411
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
ANDREW B CHERTOFF MDPC
Practice address
1236 Main St
Suite 301
Holyoke, MA 01040-5370
Phone
(413) 536-7351
NPI assigned
Dec 18, 2007
Last updated
Dec 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Andrew B Chertoff, MDNPI 1780666040
Title
Owner
Phone
(413) 536-7351

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
Orthopaedic Hand Surgery Physician 207XS0106X NU Primary

Addresses

Primary practice location

1236 Main St
Suite 301
Holyoke, MA 01040-5370

Mailing address

1236 Main St
Suite 301
Holyoke, MA 01040-5370
Phone (413) 536-7351

Other identifiers 2

IdentifierTypeStateIssuer
9731661MedicaidMA
M16433OtherMABLUE CROSS BLUE SHIELD O

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050613000206 MA Part B Supplier - Clinic/Group Practice 2769458256 Receives reassigned benefits from 1 practitioner
Practice locations: Westfield, MA

National Provider Directory

National Provider Directory

Locations

1236 Main St
Ste 202B
Holyoke, MA 01040

1236 Main St
Ste 301
Holyoke, MA 01040
Phone (413) 320-9798

Practitioners & affiliated clinicians

Practitioners 1

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": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1881878411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 MAIN ST",
            "address_2": "SUITE 301",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405370",
            "telephone_number": "413-536-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 MAIN ST",
            "address_2": "SUITE 301",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405370",
            "telephone_number": "413-536-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW B CHERTOFF MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "CHERTOFF",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-536-7351",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9731661",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE  SHIELD O",
            "identifier": "M16433",
            "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 Dec 18, 2007; 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.