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

Cody Ross Todesco, PA-C

Individual provider Physician Assistant · NPI 1831848811

Cody Ross Todesco, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2023, 3 years ago. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
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

300 Longwood Ave
Boston, MA 02115-5737
Phone: (617) 355-6000
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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 PA101962 (MA)

Record details

NPI number1831848811
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 18, 2022
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address300 Longwood Ave, Boston, MA 02115-5724

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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