Active NPI
Regal Medical Group
- Family Medicine Physician
- Worcester, MA
National Provider Identifier
1548079080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- REGAL MEDICAL GROUP
- Practice address
- 255 Park Ave Ste 400
Worcester, MA 01609-1989 - Phone
- (508) 755-9776
- Fax
- (508) 793-0715
- NPI assigned
- Dec 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Al Nawab
- Title
- Director
- Phone
- (508) 925-0073
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
255 Park Ave Ste 400
Worcester, MA 01609-1989
Mailing address
255 Park Ave Ste 400
Worcester, MA 01609-1989
Phone (508) 755-9776
Other names 1
- Webster Square Medical Center
National Provider Directory
National Provider Directory- Tax ID family
- Regal Medical Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Westborough, MA
- NPI 1083972806
Locations
24 Lyman St
Ste 260
Westborough, MA 01581
Phone (508) 870-1800
255 Park Ave
Ste 400
Worcester, MA 01609
Phone (508) 755-7272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750809600000",
"number": "1548079080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 PARK AVE STE 400",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091989",
"telephone_number": "508-755-9776",
"fax_number": "508-831-7861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 PARK AVE STE 400",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091989",
"telephone_number": "508-755-9776",
"fax_number": "508-793-0715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGAL MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-30",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A",
"authorized_official_last_name": "NAWAB",
"authorized_official_first_name": "AL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "508-925-0073"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Webster Square Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Webster Square Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.