Amy D Divasta

M.D. | Pediatric Adolescent Medicine | Female

Amy D Divasta, M.D. is a Boston, Massachusetts based Pediatric doctor with medical specialization in Pediatric Adolescent Medicine. Current practice location of Amy D Divasta is 300 Longwood Ave, Boston, Massachusetts - 02115-5724. She can be contacted on phone at 617-355-7181. Amy D Divasta is a sole proprietor of her business.
NPI number (Unique professional ID) for Amy D Divasta is 1891732970 which was assigned by NPPES on 31 May, 2006 and it was last updated on 13 Aug, 2007. Amy D Divasta license number is 224617 for Pediatrics Adolescent Medicine (2080A0000X) in Massachusetts.
Amy D Divasta specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Amy D Divasta basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Adolescent Medicine
Provider Name :Amy D Divasta
Credential :M.D.
Gender :Female
Business Address:
Amy D Divasta address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :300 Longwood Ave
Boston, MA, 02115-5724
United States
Phone Number :617-355-7181
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1891732970
NPI Entity Type : Individual
First Enrolment Date : 31 May, 2006
Last Updated On : 13 Aug, 2007
Medicare Participation:
Amy D Divasta participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :6507893922
Medicare Enrollment ID :I20050718000712
Primary Specialty :Pediatric Medicine
Medical School :Tufts University School Of Medicine
Graduation Year :1999
Accepts Medicare?Yes. Amy D Divasta accepts medicare insurance.
Group Practice Association:
Amy D Divasta is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Amy D Divasta is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
Children's Hospital Pediatric Associates, Inc3476541830231300 Longwood Ave
Boston, MA - 021155724
Ph: 6173556000
Yes
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amy D Divasta are as mentioned. Primary taxonomy code for Amy D Divasta, M.D. is 2080A0000X (Pediatrics Adolescent Medicine).
Taxonomy Code SpecialityPrimaryLicense No.State
2080A0000XPediatrics Adolescent MedicineYes224617MA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :300 Longwood Ave
Boston, MA, 02115-5724
United States
Phone Number :617-355-7181
Business Location:
Patients can refer following map for directions to Amy D Divasta practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.