Individual provider · Type 1 NPI

Jason PL Manto, NP

Gerontology Nurse Practitioner · Boston, MA

NPI number 1013539188 Active

Practice location

801 Massachusetts Avenue, Crosstown Bldg Suite 6C
Boston, MA 02118

Fax (617) 414-9201

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X9018 (CT)
Gerontology Nurse Practitioner Primary 363LG0600XRN10017792 (MA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1013539188

Jason PL Manto, NP's National Provider Identifier is 1013539188, issued on May 12, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Boston, MA. The record was last updated on Jul 2, 2025.