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

Alyssa Bonanno, PA-C

Individual provider Physician Assistant · NPI 1669279105

Alyssa Bonanno, PA-C is a Physician Assistant in Waltham, Massachusetts. Qualified in 2025, 1 year ago. Practices with Northeast Orthopaedic Alliance PLLC, a 289-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025
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

71 Border Rd Ste 300
Waltham, MA 02451-1044
Phone: (781) 890-2133
Fax: (781) 890-2177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA101590 (MA)

Record details

NPI number1669279105
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 3, 2025
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Northeast Orthopaedic Alliance Pllc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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