Andrew James Robitaille, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA7924 Issued in MA

Practice address

200 Washington St
Boxford, MA 01921-1017

Phone

(978) 296-3781

Fax

(978) 296-3783

NPI assigned

Oct 30, 2018

Last updated

Mar 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Clearchoicemd Primary Care PLLC

  • Family Medicine Physician
  • Saint Albans, VT
  • NPI 1326582529
  NPD (past)

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1316414162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DR STE 102",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791056",
            "telephone_number": "508-238-8646",
            "fax_number": "508-230-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WASHINGTON ST",
            "city": "BOXFORD",
            "state": "MA",
            "postal_code": "019211017",
            "telephone_number": "978-296-3781",
            "fax_number": "978-296-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBITAILLE",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7924",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NH",
            "license": "1445",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3115999",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Walter Phoenix, DMD
• Daniel H. Raess, M.D,
• Hannah J Ramos, NP
• Randall a. Guerra, Inc. (Airways Respiratory Service)
• Revive Counseling Services
• Nelly Russo
• Janet Mary Saluk, AGPCNP-BC
• Samantha Kennerson Physical Therapy
• Amy Schram
• Emily Marie Serino, RN

• Physician Assistant in Boxford, MA
• Providers in Boxford, 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 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.