Pradeep P Nazarey, M.D.

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

237921 Issued in MA

Practice address

55 Lake Ave N
Department of Surgery
Worcester, MA 01655-0002

Phone

(508) 856-2128

Fax

(508) 856-2043

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1386798700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-2225",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-856-2128",
            "fax_number": "508-856-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZAREY",
        "first_name": "PRADEEP",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MA",
            "license": "237921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110080618A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Elena Navedo, MD
• Mark Navin, PA-C
• Nicole M. Navis, CNP
• Anna Nawrath, M.A.
• Kara Naylon, PSYD
• Stephanie M. Nazarey, NP
• Beverly L Nazarian, M.D.
• NBS Home Care Services LLC
• Amida Nchaw
• Maurice Ndansi

• Pediatric Surgery Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Pediatric Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.