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

Emma Pitoniak

Individual provider Family Nurse Practitioner · NPI 1053082677

Emma Pitoniak is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2021, 5 years ago. Practices with South Boston Community Health Center, a 58-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2021
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Practice location Address checks out

409 W Broadway
Boston, MA 02127-2245
Phone: (617) 269-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2283275 (MA)

Record details

NPI number1053082677
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice South Boston Community Health Center — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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