Active NPI
Jennifer Lynn Sittambalam, PA
- Physician Assistant
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 26 Thomson PL
Boston, MA 02210-1212 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- May 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
26 Thomson PL
Boston, MA 02210-1212
Mailing address
422 East St
Brockton, MA 02302-4134
Phone (860) 751-4339
Other practice location 1
300 Needham St Ste 1B
Newton, MA 02464-1572
Phone (860) 751-4339
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
26 Thomson PL
Boston, MA 02210-1212
Phone (617) 903-5000
53 State St
Suite 106
Boston, MA 02109-2820
Phone (617) 903-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Community Physicians Inc. | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc. | Past | Accepting new patients |
Locations
26 Thomson Pl
Boston, MA 02210
53 State St
Ste 106
Boston, MA 02109
300 Needham St
Ste 1B
Newton, MA 02464
Phone (860) 751-4339
399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Haverhill, MA
- NPI 1891112637
-
- Family Medicine Physician
- Boston, MA
- NPI 1265094122
-
- Internal Medicine Physician
- Concord, MA
- NPI 1174545875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1922797349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 EAST ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023024134",
"telephone_number": "860-751-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 THOMSON PL",
"city": "BOSTON",
"state": "MA",
"postal_code": "022101212",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "300 Needham St Ste 1B",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "MA",
"postal_code": "024641572",
"country_code": "US",
"telephone_number": "860-751-4339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SITTAMBALAM",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-02",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.