Individual provider Active NPI

Kunwarjit Singh Garcha, FNP-BC

  • Family Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1710358577
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2304395 Issued in MA
Practice address
161 Jackson St
Lowell, MA 01852-2103
Phone
(978) 937-9700
NPI assigned
Oct 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X T20151199 MD
Family Nurse Practitioner 363LF0000X RN2304395 MA Primary
Family Nurse Practitioner 363LF0000X 9379301 FL
Registered Nurse 163W00000X T20151199 MD

Addresses

Primary practice location

161 Jackson St
Lowell, MA 01852-2103

Mailing address

161 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700

Other practice location 1

22590 Shady Ct
California, MD 20619-5009
Phone (301) 737-0500

Other practice location 2

22590 Shady Ct
California, MD 20619-5009
Phone (301) 737-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MA, NH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160120001101 MD Practitioner - Nurse Practitioner 2062715345 Reassigns benefits to 1 organization
I20170927003902 MA Practitioner - Nurse Practitioner 2062715345 Reassigns benefits to 3 organizations
I20241023002523 NH Practitioner - Nurse Practitioner 2062715345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
T20151199MDMDRegistered Nurse
9379301FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Jul 1, 2017 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Dec 15, 2015 Accepting new patients
Lowell Community Health Center, Inc. CurrentSince Jul 10, 2018 Accepting new patients
Lowell Community Health Center, Inc. CurrentSince Jul 10, 2018 Accepting new patients
Emergency Medicine Services of NH, LLC CurrentSince Jul 25, 2024 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Jul 1, 2017 Accepting new patients
Steward Emergency Physicians, Inc CurrentSince Aug 3, 2022 Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

101 Jackson St
Lowell, MA 01852
Phone (978) 459-8656

161 Jackson St
Lowell, MA 01852
Phone (978) 746-7867

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

22590 Shady Ct
California, MD 20619
Phone (301) 737-0500

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1710358577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 JACKSON ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522103",
            "telephone_number": "978-937-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 JACKSON ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522103",
            "telephone_number": "978-937-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22590 Shady Ct",
            "address_purpose": "LOCATION",
            "city": "California",
            "state": "MD",
            "postal_code": "206195009",
            "country_code": "US",
            "telephone_number": "301-737-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22590 Shady Ct",
            "address_purpose": "LOCATION",
            "city": "California",
            "state": "MD",
            "postal_code": "206195009",
            "country_code": "US",
            "telephone_number": "301-737-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCHA",
        "first_name": "KUNWARJIT",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-19",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "T20151199",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2304395",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9379301",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "T20151199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.