Active NPI
Nicole Jardin Pecquex, M.D.
- Surgery Physician
- Brighton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 219025
- Practice address
- 11 Nevins St
Suite 201
Brighton, MA 02135-3514 - Phone
- (617) 789-2442
- Fax
- (617) 202-4349
- NPI assigned
- Sep 16, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 219025 | MA | Primary |
Addresses
Primary practice location
11 Nevins St
Suite 201
Brighton, MA 02135-3514
Mailing address
960 Massachusetts Ave
FL 2
Boston, MA 02118-2690
Other practice location 1
736 Cambridge St
Surgery - Inpatient
Brighton, MA 02135
Phone (617) 789-2442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3079850 | Medicaid | NH | |
| 110035692A | Medicaid | MA |
Other names 1
- Nicole Jardin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Tufts University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Nevins St
Brighton, MA 02135-3514
Phone (617) 779-6700
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000
736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000
Hospital & facility affiliations
- Boston Medical Center-Brighton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219025 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Revere Medical of Massachusetts, PC | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| BMC Affiliated Physicians, Inc. | Surgery | Current | Accepting new patients |
| Steward Medical Group Inc. | Past | Accepting new patients |
Locations
960 Massachusetts Ave
Ste 2
Boston, MA 02118
11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782
736 Cambridge St
Fl 7
Brighton, MA 02135
Phone (617) 562-7026
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
77 Warren St
Brighton, MA 02135
Phone (617) 254-1271
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050
851 Middle St
Ste 3400
Fall River, MA 02721
Phone (508) 235-5400
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
535 Faunce Corner Rd
Bldg B
North Dartmouth, MA 02747
91 Washington St
Unit 304
Taunton, MA 02780
40 Spring St
Watertown, MA 02472
Phone (617) 923-8433
Interoperability endpoints
- npecquex251901@direct.bmc.masshiway.net
- nicole.pecquex.1@2017.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1336976539
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Cardiac Rehabilitation Clinic/Center
- Brighton, MA
- NPI 1760086599
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1720814072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1467447300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE",
"address_2": "FL 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 NEVINS ST",
"address_2": "SUITE 201",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353514",
"telephone_number": "617-789-2442",
"fax_number": "617-202-4349"
}
],
"practiceLocations": [
{
"address_1": "736 Cambridge St",
"address_2": "Surgery - Inpatient",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "02135",
"country_code": "US",
"telephone_number": "617-789-2442",
"fax_number": "617-202-4349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PECQUEX",
"first_name": "NICOLE",
"middle_name": "JARDIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-16",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "219025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3079850",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110035692A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "JARDIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.