Individual provider Active NPI

Jenisha Nandhlal, M.D.

  • Pediatrics Physician
  • Nashua, NH
National Provider Identifier
1750630307
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20094 Issued in NH
Practice address
8 Prospect St
Nashua, NH 03060-3925
Phone
(603) 281-6602
NPI assigned
Aug 29, 2012
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 278860 MA
Pediatrics Physician 208000000X 20094 NH Primary

Addresses

Primary practice location

8 Prospect St
Nashua, NH 03060-3925

Mailing address

8 Prospect St
Nashua, NH 03060-3925
Phone (603) 281-6602

Other practice location 1

115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 383-8544

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200528003216 MA Practitioner - Pediatric Medicine 4880027531 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
278860MAMDPediatrics Physician
20094NHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Sep 26, 2024 Accepting new patients
Cambridge Public Health Commission Current Accepting new patients
Massachusetts Eye and Ear Infirmary Current Accepting new patients
Umass Memorial Medical Group Inc Pediatrics CurrentSince Feb 6, 2024 Accepting new patients
Massachusetts General Physicians Organization Inc Pediatrics CurrentSince Sep 26, 2024 Accepting new patients
Cambridge Public Health Commission CurrentSince Oct 1, 2024 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Feb 6, 2024 Accepting new patients
Southern New Hampshire Medical Center Past Accepting new patients
VHS Acquisition Subsidiary Number 9 Inc Past Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

Interoperability endpoints

  • FHIR API: https://epicproxyprd.solutionhealth.org/FHIR_PRD/MYCHART/api/FHIR/R4
  • Direct secure messaging: jnandhlal122051@direct.challiance.masshiway.net
  • Direct secure messaging: nandhlal.jenisha.meei@direct.partners.masshiway.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1750630307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603925",
            "telephone_number": "603-281-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603925",
            "telephone_number": "603-281-6602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017026358",
            "country_code": "US",
            "telephone_number": "508-383-8544",
            "fax_number": "508-334-6083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANDHLAL",
        "first_name": "JENISHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "278860",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "20094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "115 Lincoln St",
            "city": "Framingham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017026358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.