Robert J Nicholson Jr., MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

016664 Issued in LA

Practice address

42078 Veterans Avenue
Suite G
Hammond, LA 70403

Phone

(985) 542-7177

Fax

(985) 340-7078

NPI assigned

Jan 12, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Louisiana State University School of Medicine in New Orleans, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuromuscular Medical Association LLCGroup PAC ID 3173506631, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEEBBA/Endpoint/FEEBBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neuromuscular Medical Association, LLC

  • Physical Medicine & Rehabilitation Physician
  • Metairie, LA
  • NPI 1073649646
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1124417373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42078 VETERANS AVENUE",
            "address_2": "SUITE G",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-542-7177",
            "fax_number": "985-340-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42078 VETERANS AVENUE",
            "address_2": "SUITE G",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-542-7177",
            "fax_number": "985-340-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-12",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "016664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Quynh-Nhu Nguyen
• Marylynn Nguyen, M.D.
• Quynh The Nguyen, D.D.S
• Jameshia Nichols
• Marion Nichols
• Nicole L. Jackson, DDS, a Professional Dental Corporation (Affordable Dentures & Implants - Hammond)
• Thien Viet Ninh, MD
• Stacie L. Noe, DDS
• Carlton Norman I
• Elizabeth M Norman, APRN

• Specialist in Hammond, LA
• Providers in Hammond, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.