Active NPIIndividual provider

Nisha M Fahey, DO

Pediatrics in Worcester, Massachusetts

NPI Number1346602364
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
774-443-7268
Last updated
April 10, 2024

Nisha Megan Fahey is a Pediatrics based in Worcester, MA. Nisha Megan Fahey practices in Worcester, MA and has the professional credentials of DO. The NPI Number for Nisha Megan Fahey is 1346602364 and holds a License No. 279034 (MA). The current practice location address for Nisha Megan Fahey is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 774-442-2853 and via fax at 774-443-7268.

Provider Profile Details

NPI Number
1346602364
Provider Name
Nisha Megan Fahey
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
774-442-2853
Fax Number
774-443-7268
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2016
Last Update Date
April 10, 2024
Certification Date
April 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
774-442-2853
Fax Number
774-443-7268
Worcester, MA 01655Get directions →

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
279034
License State
MA
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nisha M Fahey, DO?

The NPI number of Nisha M Fahey, DO is 1346602364. It was assigned on March 28, 2016 and is currently active in the NPPES registry.

What is the specialty of Nisha M Fahey, DO?

Nisha M Fahey, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 279034.

Where does Nisha M Fahey, DO practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 774-442-2853 (phone) or 774-443-7268 (fax).

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 1346602364 directly on the NPPES registry website.

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