Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexandra Masullo, PA-C

Individual provider Physician Assistant · NPI 1528776465

Alexandra Masullo, PA-C is a Physician Assistant in Charlestown, Massachusetts. Qualified in 2022, 4 years ago. Practices with Mass General Brigham Urgent Care LLC, a 106-clinician group.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7 Church Ct Unit 2
Charlestown, MA 02129-3307
Phone: (203) 942-4817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1528776465
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 9, 2022
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mass General Brigham Urgent Care Llc — 106 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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