Individual provider Active NPI

Jacinto Cajayon Regalado Jr., RN

  • Registered Nurse
  • Salem, NH
National Provider Identifier
1619777992
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2314561 Issued in MA
Practice address
215 S Broadway # 113
Salem, NH 03079-3374
Phone
(857) 243-5649
NPI assigned
Mar 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9531695 FL
Registered Nurse 163W00000X 95155963 CA
Registered Nurse 163W00000X 836241 NY
Registered Nurse 163W00000X RN2314561 MA Primary

Addresses

Primary practice location

215 S Broadway # 113
Salem, NH 03079-3374

Mailing address

215 S Broadway # 113
Salem, NH 03079-3374
Phone (857) 243-5649

Other practice location 1

17 Winter St Apt 3
Dorchester, MA 02122-3021
Phone (857) 243-5649

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95155963CAMDRegistered Nurse
RN9531695FLMDRegistered Nurse
RN2314561MAMDRegistered Nurse
836241NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1619777992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S BROADWAY # 113",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793374",
            "telephone_number": "857-243-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S BROADWAY # 113",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793374",
            "telephone_number": "857-243-5649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Winter St Apt 3",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021223021",
            "country_code": "US",
            "telephone_number": "857-243-5649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGALADO",
        "first_name": "JACINTO",
        "middle_name": "CAJAYON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9531695",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95155963",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "836241",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2314561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.