Alyna M Dale, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA5891 Issued in MA

Practice address

110 W Squantum St
North Quincy, MA 02171-2122

Phone

(617) 376-3000

Fax

(617) 774-1905

NPI assigned

Apr 7, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Boston, MA
  • NPI 1881261303
  Medicare reassignment NPD
• Carbon Health Medical Group of Massachusetts PC

  • Multi-Specialty Clinic/Center
  • Boston, MA
  • NPI 1528836897
  Medicare reassignment
• Carbon Health Primary Care of Florida PA

  • Primary Care Clinic/Center
  • Boston, MA
  • NPI 1912662719
  Medicare reassignment
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1396317079
  NPD
• Carbon Health Primary Care of Florida PA

  • Primary Care Clinic/Center
  • Littleton, CO
  • NPI 1518622315
  NPD

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295268076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SQUANTUM ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712122",
            "telephone_number": "617-376-3000",
            "fax_number": "617-774-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W SQUANTUM ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712122",
            "telephone_number": "617-376-3000",
            "fax_number": "617-774-1905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8B Skyline Dr",
            "address_2": "Unit 12",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021841136",
            "country_code": "US",
            "telephone_number": "515-999-5569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8B Skyline Dr",
            "address_2": "Unit 12",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021841136",
            "country_code": "US",
            "telephone_number": "515-999-5569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALE",
        "first_name": "ALYNA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1118104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE BOARD OF REGISTRATION OF PHYSICIAN ASSISTANTS",
            "identifier": "PA5891",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vikram RJ Butani
• Kiley Callahan, FNP-C
• Qiao Angela Chu, BHSC., M.D.
• Nancy Chung, MSN, FNP-BC
• Mary Ann Dakkak, M.D.
• Krishna Dewashrayee, RN
• Yiming Ding, M.D.
• Mark Everds, L.I.C.S.W.
• Family Dental Health Center, PC
• Jane S Farrell

• Physician Assistant in North Quincy, MA
• Providers in North Quincy, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.