Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jenifer R Lightdale, MD

Individual provider Pediatrics Physician · NPI 1932112380

Dr. Jenifer R Lightdale, MD is a Gastroenterology in Worcester, Massachusetts. Graduated from Icahn School of Medicine at Mount Sinai in 1995, 31 years ago. Practices with Children's Hospital Pediatric Associates, Inc, a 336-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
31
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (774) 441-8082
Fax: (774) 441-8056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 208223 (MA)
Pediatrics Physician Taxonomy 208000000X · Licence 208223 (MA)

Record details

NPI number1932112380
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 1995 (31 years in practice)
Group practice Children'S Hospital Pediatric Associates, Inc — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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