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MAX JAE ZEIDENBERG PA-C
NPI 1396422648
Physician Assistant - Surgical in Boston, MA

Active since June 29, 2023PECOS EnrolledAccepts Medicare Assignment
725 ALBANY ST STE 4B, BOSTON, MA 02118(617) 638-5633 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2025, Aug 6, 2025, Jul 10, 2023 (3 updates tracked since 2023).

About Max Jae Zeidenberg Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAX JAE ZEIDENBERG PA-C (NPI 1396422648) is an individual surgical provider in Boston, Massachusetts, licensed in Massachusetts (PA9489) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and maintains a secondary practice location in Dorchester.

NPPES Registry Identity

NPI1396422648
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMAX JAE ZEIDENBERGCredential: PA-C
Location Address725 ALBANY ST STE 4BBoston, MA 02118-3549
Mailing Address960 Massachusetts Ave, Fl 2Boston, MA 02118-2690
Phone(617) 638-5633
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 29, 2023
Last NPPES UpdateSeptember 12, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1396422648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MA · PA9489
725 ALBANY ST STE 4B, Boston, MA 02118
Open in Google Maps ↗

Secondary Practice Location 1

Location 139B District AveDorchester, MA 02125 · Phone (617) 638-7869

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Max Jae Zeidenberg Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446606784
PECOS Enrollment IDI20231024000574
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAIELLE ANDRA NOVICK
Physician Assistant
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633
AMANDA CALLUM PA
Physician Assistant
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633
NATHAN PAUL OLSZEWSKI MD
Orthopaedic Surgery (Orthopaedic Trauma)
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633
MATTHEW KIM MD
Student in an Organized Health Care Education/Training Program
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633
CAITLIN GRIFFIN DALEY PA
Physician Assistant
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633
MACKENZIE TATAR PA
Physician Assistant
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633
DR. DONALD PAUL WILLIER III MD
Orthopaedic Surgery
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633
MARY ANNE L PETERSON PA-C
Physician Assistant
725 ALBANY ST STE 4B
BOSTON, MA 02118
Suffolk County (617) 638-5633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Max Zeidenberg's NPI number?

The NPI number for Max Zeidenberg is 1396422648. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is Max Zeidenberg located?

Max Zeidenberg practices at 725 Albany St Ste 4B, Boston, MA 02118. The listed phone number is (617) 638-5633.

What is Max Zeidenberg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Max Zeidenberg enrolled in Medicare?

Yes. Max Zeidenberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Max Zeidenberg accept?

Health plans from Anthem Blue Cross and Blue Shield list Max Zeidenberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Max Zeidenberg affiliated with any hospitals?

According to CMS data, Max Zeidenberg is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Max Zeidenberg was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.