Nicholas C Fasano, MD
Radiology, Diagnostic Radiology in Worcester, Massachusetts
1013932292- Practice location
- 55 Lake Ave North, Worcester, MA 01655-0002
- Phone
- 508-334-3850
- Fax
- —
- Last updated
- January 29, 2026
Nicholas Charles Fasano is a Radiology, Diagnostic Radiology based in Worcester, MA. Nicholas Charles Fasano practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Nicholas Charles Fasano is 1013932292 and holds a License No. 1018905 (MA). The current practice location address for Nicholas Charles Fasano is 55 Lake Ave North, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-3850.
Provider Profile Details
- NPI Number
- 1013932292
- Provider Name
- Nicholas Charles Fasano
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Lake Ave North, Worcester, MA 01655-0002
- Phone Number
- 508-334-3850
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 12, 2006
- Last Update Date
- January 29, 2026
- Certification Date
- January 29, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave North
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-334-3850
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
- Fax Number
- 508-334-1977
License Information
- License Number (1)
- 1018905
- License State (1)
- MA
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (2)
- MD428992
- License State (2)
- PA
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
- License Number (3)
- D0087818
- License State (3)
- MD
- Taxonomy (3)
- Radiology, Diagnostic Radiology · 2085R0202X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Radiology, Diagnostic Radiology providers near Worcester, MA
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- Andrew E Bennett, MD, PHDRadiology, Diagnostic Radiology · NPI 1104067966
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Frequently Asked Questions
What is the NPI number of Nicholas C Fasano, MD?
The NPI number of Nicholas C Fasano, MD is 1013932292. It was assigned on July 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Nicholas C Fasano, MD?
Nicholas C Fasano, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in MA under license number 1018905.
Where does Nicholas C Fasano, MD practice?
The practice location is 55 Lake Ave North, Worcester, MA 01655-0002. The office can be reached at 508-334-3850 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013932292 directly on the NPPES registry website.