Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jenna Lyn Daddario, PA-C

Individual provider Medical Physician Assistant · NPI 1184973042

Jenna Lyn Daddario, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2012, 14 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and New York.

Years since qualifying
14
Licensed in
MA, NY
In the registry since
2012
Specialties on file
2
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

55 Fruit St Ste 435
Boston, MA 02114-2621
Phone: (617) 726-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Community Dr, Manhasset, NY 11030-3816 — (516) 562-4125

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA7297 (MA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 23015924 (NY)

Record details

NPI number1184973042
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 6, 2012
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 22, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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