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

Amy D Divasta, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1891732970

Amy D Divasta, MD is a Pediatric Adolescent Medicine Physician in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-7181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 224617 (MA)

Record details

NPI number1891732970
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESAugust 13, 2007
Mailing address300 Longwood Ave, Boston, MA 02115-5724

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