Marissa I Johnson, PA-C
Physician Assistant in Boston, Massachusetts
1447703525- Practice location
- 450 Brookline Ave, Boston, MA 02215-5450
- Phone
- 617-278-0055
- Fax
- —
- Last updated
- June 26, 2026
Marissa Irene Johnson is a Physician Assistant based in Boston, MA. Marissa Irene Johnson practices in Boston, MA and has the professional credentials of PA-C. The NPI Number for Marissa Irene Johnson is 1447703525 and holds a License No. PA1616 (ME). The current practice location address for Marissa Irene Johnson is 450 Brookline Ave, Boston, MA 02215-5450 and can be reached out via phone at 617-278-0055.
Provider Profile Details
- NPI Number
- 1447703525
- Provider Name
- Marissa Irene Johnson
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 450 Brookline Ave, Boston, MA 02215-5450
- Phone Number
- 617-278-0055
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 26, 2016
- Last Update Date
- June 26, 2026
- Certification Date
- June 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 450 Brookline Ave
Boston, MA 02215-5450 - City
- Boston
- State
- Massachusetts
- Zip
- 02215-5450
- Phone Number
- 617-278-0055
Provider Business Mailing Address Details
- Address
- 450 Brookline Ave
Boston, MA 02215-5450 - City
- Boston
- State
- MA
- Zip
- 02215-5450
License Information
- License Number (1)
- PA1616
- License State (1)
- ME
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- PA9454
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Marissa I Johnson, PA-C?
The NPI number of Marissa I Johnson, PA-C is 1447703525. It was assigned on July 26, 2016 and is currently active in the NPPES registry.
What is the specialty of Marissa I Johnson, PA-C?
Marissa I Johnson, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA1616.
Where does Marissa I Johnson, PA-C practice?
The practice location is 450 Brookline Ave, Boston, MA 02215-5450. The office can be reached at 617-278-0055 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447703525 directly on the NPPES registry website.