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

Anisa Mansoor Amiji

Individual provider Physician Assistant · NPI 1063210433

Anisa Mansoor Amiji is a Physician Assistant in Boston, Massachusetts. Qualified in 2025, 1 year ago. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025
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Practice location Address checks out

780 Albany St
Boston, MA 02118-2755
Phone: (857) 654-1000
Fax: (857) 654-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA101951 (MA)

Record details

NPI number1063210433
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 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)
Accepts Medicare assignment Not indicated

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