Nathan Dominic Alessio, MD
Individual provider Active NPI Surgery Physician · Brighton, MA
NPI 1679368609 · NPPES record last updated Jun 18, 2025
Key facts
- NPI
- 1679368609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 3018829 (MA)
- Practice address
- 736 Cambridge St
Brighton, MA 02135-2907 - Phone
- (617) 789-2990
- NPI assigned
- Apr 10, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251008002709 | MA | Order and Referring Only - General Surgery |
6507363280 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- nalessio262966@direct.bmc.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 3018829 | MA | Yes |
Addresses
Primary practice location
736 Cambridge St
Brighton, MA 02135-2907
Mailing address
736 Cambridge St
Brighton, MA 02135-2907
NPI Registry JSON
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1679368609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-789-2990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALESSIO",
"first_name": "NATHAN",
"middle_name": "DOMINIC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-10",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "3018829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MA
- Karen Albert
- Susan L. Albert
- Rania Mohammed Albesher
- Aldo Sferra
- Benjamin Aldrich
- Sarah Alexander
- Zahra Alhajji
- Maad Alhudairy
- Angeline Alicea Cruz
- Farshid Alizadeh
All providers in Brighton, MA · Surgery Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.