Individual provider · Type 1 NPI

Stephanie Roberts, PA-C

Physician Assistant · Boston, MA

NPI number 1629765409 Active

Practice location

1 Boston Medical Ctr Pl
Boston, MA 02118-2908

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690

Other practice locations

  • 123 Middlesex St, Millis, MA 02054-1015 · (774) 993-9563
  • 593 Eddy St, Providence, RI 02903-4923 · (401) 444-7585
  • 593 Eddy St, Providence, RI 02903-4923 · (401) 444-5891

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA01826 (RI)
Physician Assistant Primary 363A00000XPA9348 (MA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1629765409

Stephanie Roberts, PA-C's National Provider Identifier is 1629765409, issued on Apr 20, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boston, MA. The record was last updated on Sep 25, 2026.