Individual provider Active NPI

Christine Diane Amitay, M.D.

  • Family Medicine Physician
  • Somerville, MA
National Provider Identifier
1083681522
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
210969 Issued in MA
Practice address
399 Revolution Dr
Somerville, MA 02145-1484
Phone
(857) 895-4321
NPI assigned
Mar 3, 2006
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 210969 MA Primary

Addresses

Primary practice location

399 Revolution Dr
Somerville, MA 02145-1484

Mailing address

30 Bellevue Rd
Arlington, MA 02476-7920
Phone (617) 872-5223

Other identifiers 1

IdentifierTypeStateIssuer
110004965AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000838 MA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 4486644846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

47 Middlesex Tpke
Burlington, MA 01803-4945
Phone (781) 365-5999

500 Merrimack St
Lawrence, MA 01843-1981
Phone (978) 557-8900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc CurrentSince Aug 21, 2025 Accepting new patients
South Boston Community Health Center CurrentSince Nov 13, 2001 Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Aug 21, 2025 Accepting new patients

Locations

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

399 Revolution Dr
Somerville, MA 02145
Phone (800) 856-1983

409 W Broadway
South Boston, MA 02127
Phone (617) 269-7500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1083681522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BELLEVUE RD",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024767920",
            "telephone_number": "617-872-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 REVOLUTION DR",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451484",
            "telephone_number": "857-895-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMITAY",
        "first_name": "CHRISTINE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "210969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110004965A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.