Individual provider · Type 1 NPI

Micaela Ann Rogal, PA-C

Physician Assistant · Boston, MA

NPI number 1902676299 Active

Practice location

830 Harrison Avenue, 3rd Fl, Moakley Bldg
Boston, MA 02118-2905

Fax (617) 638-5756

Mailing address

960 Massachusetts Ave, Fl 2
Boston, MA 02118-2690

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA101608 (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 1902676299

Micaela Ann Rogal, PA-C's National Provider Identifier is 1902676299, issued on Jan 8, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boston, MA. The record was last updated on May 20, 2026.