Nicholas Jarostchuk
Student in an Organized Health Care Education/Training Program in Worcester, MA. Individual provider (NPI-1).
NPI number1124960752
StatusActive
Last updated in NPPESApr 6, 2026
Details
- NPI
- 1124960752
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Jarostchuk
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2026
- Certification date
- Apr 6, 2026
- Last updated
- Apr 6, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
55 Lake Ave NWorcester, MA 01655-0002
Phone 508-334-1000
Mailing address
55 Lake Ave NWorcester, MA 01655-0002
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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