DR. NICHOLAS THOMAS LACAVA MD NPI 1770690141

NPI Information

NPI: 1770690141
Provider Name: DR. NICHOLAS THOMAS LACAVA, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 360 W BOYLSTON ST
SUITE 107
WEST BOYLSTON, MA
ZIP 01583
Phone: (508) 854-1380

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NPI Details

DR. Nicholas Thomas Lacava, MD is a general practice in West Boylston, MA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Nicholas Thomas Lacava, MD NPI is 1770690141. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

360 W BOYLSTON ST
SUITE 107
WEST BOYLSTON, MA
ZIP 01583-365
Phone: (508) 854-1380
Fax: (508) 854-0446

The NPI 1770690141 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207K00000X	Allergy & Immunology		39891	MASSACHUSETTS	No
2	207QA0000X	Family Medicine	Adolescent Medicine	39891	MASSACHUSETTS	No
3	208000000X	Pediatrics		39891	MASSACHUSETTS	No
4	2080A0000X	Pediatrics	Adolescent Medicine	39891	MASSACHUSETTS	No
5	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics	39891	MASSACHUSETTS	No
6	2080P0008X	Pediatrics	Neurodevelopmental Disabilities	39891	MASSACHUSETTS	No
7	2080P0201X	Pediatrics	Pediatric Allergy/Immunology	39891	MASSACHUSETTS	No
8	2080P0205X	Pediatrics	Pediatric Endocrinology	39891	MASSACHUSETTS	No
9	2080P0206X	Pediatrics	Pediatric Gastroenterology	39891	MASSACHUSETTS	No
10	2080P0208X	Pediatrics	Pediatric Infectious Diseases	39891	MASSACHUSETTS	No
11	2080P0214X	Pediatrics	Pediatric Pulmonology	39891	MASSACHUSETTS	No
12	2080T0002X	Pediatrics	Medical Toxicology	39891	MASSACHUSETTS	No
13	2083P0500X	Preventive Medicine	Preventive Medicine/Occupational Environmental Medicine	39891	MASSACHUSETTS	No
14	2083T0002X	Preventive Medicine	Medical Toxicology	39891	MASSACHUSETTS	No
15	208D00000X	General Practice		39891	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	030891	OTHER	MASSACHUSETTS	TUFTS PROVIDER ID
2	2045842	MEDICAID	MASSACHUSETTS
3	E11028	OTHER	MASSACHUSETTS	BLUE CROSS PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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