Fadi Nukta, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

232294 Issued in MA

Practice address

281 Lincoln St
Department of Surgery/Plastic Surgery
Worcester, MA 01605-2138

Phone

(508) 334-5958

Fax

(508) 334-5752

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Fadi Abou-Nukta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1780720409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022410001",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 LINCOLN ST",
            "address_2": "DEPARTMENT OF SURGERY/PLASTIC SURGERY",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052138",
            "telephone_number": "508-334-5958",
            "fax_number": "508-334-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUKTA",
        "first_name": "FADI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MA",
            "license": "232294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FADI",
            "last_name": "ABOU-NUKTA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emmanuel Nubuor
• Stephanie Nubuor
• Isabella C Nucci
• Nuch of Massachusetts, LLC
• Ian Nugent
• Nulife Recovery Services Inc
• Numbers Transit LLC
• Jason Numbers, M.D.
• Amanda Nunan, RDN, LDN
• Talita Nunes

• Plastic and Reconstructive Surgery Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Plastic and Reconstructive Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.