MR. NICOLAS JUNIOR DESJARDINS PA-C
NPI 1144722372
Physician Assistant - Surgical in Somerville, MA

Q: What is Nicolas Desjardins's NPI number?

The NPI number for Nicolas Desjardins is 1144722372. It was assigned to this individual provider in the NPPES registry on March 3, 2018.

Q: What is Nicolas Desjardins's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since March 03, 2018

96 SUMMER ST APT 1, SOMERVILLE, MA 02143(617) 834-8784 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2021, Mar 3, 2018 (2 updates tracked since 2018).

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About Mr. Nicolas Junior Desjardins Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NICOLAS JUNIOR DESJARDINS PA-C (NPI 1144722372) is an individual surgical provider in Somerville, Massachusetts, licensed in Massachusetts (PA6469) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1144722372

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. NICOLAS JUNIOR DESJARDINSCredential: PA-C

Location Address96 SUMMER ST APT 1Somerville, MA 02143-2707

Mailing Address96 Summer St Apt 1Somerville, MA 02143-2707 · (617) 834-8784

Phone(617) 834-8784

Sole ProprietorNo

Enumeration DateMarch 3, 2018

Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2021

✔ NPI 1144722372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in MA · PA6469

Also ListedHealth EducatorTaxonomy 174H00000X · License PA6469 (MA)

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License PA6469 (MA)

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA6469 (MA)

Also ListedPrevention ProfessionalTaxonomy 405300000X · License PA6469 (MA)

96 SUMMER ST APT 1, Somerville, MA 02143

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicolas Desjardins's NPI number?

The NPI number for Nicolas Desjardins is 1144722372. It was assigned to this individual provider in the NPPES registry on March 3, 2018.

Where is Nicolas Desjardins located?

Nicolas Desjardins practices at 96 Summer St Apt 1, Somerville, MA 02143. The listed phone number is (617) 834-8784.

What is Nicolas Desjardins's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Nicolas Desjardins was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.