ALYSSA BONANNO PA-C
NPI 1669279105
Physician Assistant in Waltham, MA
NPI Status: Active since March 03, 2025
Contact Information
71 BORDER RD STE 300
WALTHAM, MA
ZIP 02451
Phone: (781) 890-2133
Fax: (781) 890-2177
- Individual
- Female
- Physician Assistant
About ALYSSA BONANNO
This page provides the complete NPI Profile along with additional information for Alyssa Bonanno, a primary care provider established in Waltham, Massachusetts with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1669279105 assigned on March 2025. The practitioner's primary taxonomy code is 363A00000X with license number PA101590 (MA). The provider is registered as an individual and her NPI record was last updated May 2025.
- NPI
- 1669279105
- Provider Name
- ALYSSA BONANNO PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 71 BORDER RD STE 300 WALTHAM, MA 02451
- Location Phone
- (781) 890-2133
- Location Fax
- (781) 890-2177
- Mailing Address
- 71 BORDER RD STE 300 WALTHAM, MA 02451
- Mailing Phone
- (781) 890-2133
- Mailing Fax
- (781) 890-2177
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-03-2025
- Last Update Date
- 05-06-2025
- Code Navigator
A primary care provider (PCP) like Alyssa Bonanno sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA101590
- License State
- MA
- Taxonomy Description
- 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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 6 | 9 | 2 | 7 | 9 | 1 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 4 | 7 | 18 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 4 + 7 + 1 + 8 + 1 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1669279105 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
NORTHEAST ORTHOPAEDIC ALLIANCE PLLC
Orthopaedic Surgery
71 BORDER RD STE 300
WALTHAM, MA
ZIP 02451
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669279105, enumerated as an "individual" on March 03, 2025.
The provider is located at 71 BORDER RD STE 300 WALTHAM, MA 02451 and the phone number is (781) 890-2133.
Physician Assistant with taxonomy code 363A00000X.
