Active NPI
Judith A McNicholas, MD
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Westborough, MA
National Provider Identifier
1013962026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 76652
- Practice address
- 900 Union St
Westborough, MA 01581-5408 - Phone
- (508) 871-0700
- Fax
- (508) 616-4411
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 76652 | MA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 76652 | MA |
Addresses
Primary practice location
900 Union St
Westborough, MA 01581-5408
Mailing address
630 Plantation Street
Worcester, MA 01605
Phone (508) 871-0700
Other practice location 1
123 Summer St Ste 160
Worcester, MA 01608-1216
Phone (508) 368-3102
Other practice location 2
101 Cedar St
Milford, MA 01757-1101
Phone (508) 634-8127
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1060988 | Other | FIRST HEALTH | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| J13545 | Other | BLUE CARE ELECT | |
| J13545 | Other | BLUE SHIELD INDEMNITY | |
| 042472266 | Other | UNITED HEALTHCARE | |
| 042472266 | Other | TRICARE CHAMPUS | |
| 5070604 | Other | AETNA US HEALTHCARE | |
| J13545 | Other | BLUE SHIELD HMO BLUE | |
| 042472266 | Other | ONE HEALTH PLAN | |
| 110052917A | Medicaid | MA | |
| 406954 | Other | TUFTS HEALTH PLAN | |
| 784221 | Other | MVP HEALTH CARE | |
| 042472266 | Other | THREE RIVERS | |
| 28030 | Other | HEALTHY START | |
| 3212073 | Other | CIGNA HEALTH PLAN | |
| 9901002 | Other | FALLON COMMUNITY HEALTH | |
| 28030 | Other | CHILDRENS MED SECURITY | |
| AA6366 | Other | HARVARD PILGRIM HLTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76652 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Past | Accepting new patients |
Interoperability endpoints
- judith.mcnicholas.npi1013962026.reliant@direct.optumcare.masshiway.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1013962026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 PLANTATION STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01605",
"telephone_number": "508-871-0700",
"fax_number": "508-616-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 UNION ST",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015815408",
"telephone_number": "508-871-0700",
"fax_number": "508-616-4411"
}
],
"practiceLocations": [
{
"address_1": "123 Summer St Ste 160",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016081216",
"country_code": "US",
"telephone_number": "508-368-3102",
"fax_number": "508-368-3917",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Cedar St",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "MA",
"postal_code": "017571101",
"country_code": "US",
"telephone_number": "508-634-8127",
"fax_number": "508-453-8127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNICHOLAS",
"first_name": "JUDITH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "MA",
"license": "76652",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "76652",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1060988",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "J13545",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDEMNITY",
"identifier": "J13545",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CHAMPUS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "5070604",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HMO BLUE",
"identifier": "J13545",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110052917A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "406954",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "784221",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY START",
"identifier": "28030",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "3212073",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "9901002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MED SECURITY",
"identifier": "28030",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HLTHCARE",
"identifier": "AA6366",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.