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NICHOLAS PAUL FORDHAM MD
NPI 1992597447
Student in an Organized Health Care Education/Training Program in Jamaica Plain, MA

Active since May 20, 2025
170 MORTON ST, JAMAICA PLAIN, MA 02130(617) 522-8110 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Paul Fordham Md NPPES

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

NICHOLAS PAUL FORDHAM MD (NPI 1992597447) is an individual student in an organized health care education/training program in Jamaica Plain, Massachusetts, licensed in Massachusetts (3018480) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1992597447
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS PAUL FORDHAMCredential: MD
Location Address170 MORTON STJamaica Plain, MA 02130-3735
Mailing Address221 Harvard St Apt 28Brookline, MA 02446-5006 · (908) 892-0569
Phone(617) 522-8110
Sole ProprietorYes
Enumeration DateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1992597447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MA · 3018480
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
170 MORTON ST, Jamaica Plain, MA 02130
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOBINA GHOJOGHNEJAD MD
Student in an Organized Health Care Education/Training Program
170 MORTON ST
BOSTON, MA 02130
Suffolk County (617) 971-3336
LEYLA RAELENE SOLIS
Case Manager/Care Coordinator
170 MORTON ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 318-5600
PAUL G BREWER LCSW
Social Worker (Clinical)
170 MORTON ST
BOSTON, MA 02130
Suffolk County (617) 892-7940
DAVID MACMILLAN MD
Psychiatry & Neurology (Psychiatry)
170 MORTON ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 522-8110
SHERI KIM CLEVELAND
Counselor
170 MORTON ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 892-7942
TIFFANY J ST GERMAIN AUD, CCC-A
Audiologist
170 MORTON ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 971-3272
LEMUEL SHATTUCK HOSPITAL
General Acute Care Hospital
170 MORTON ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 971-3351
LYNN MARIE CRUZADO
Registered Nurse
170 MORTON ST
BOSTON, MA 02130
Suffolk County (617) 318-5000

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 Nicholas Fordham's NPI number?

The NPI number for Nicholas Fordham is 1992597447. It was assigned to this individual provider in the NPPES registry on May 20, 2025.

Where is Nicholas Fordham located?

Nicholas Fordham practices at 170 Morton St, Jamaica Plain, MA 02130. The listed phone number is (617) 522-8110.

What is Nicholas Fordham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicholas Fordham was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.