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

Jonathan Vandale, PA-C

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1154805281

Jonathan Vandale, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2018, 8 years ago. Practices with Mass General Brigham Medical Group Northern Massachusetts Inc, a 819-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
8
Licensed in
MA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

60 Fenwood Rd Fl 2
Boston, MA 02115-6128
Phone: (617) 732-5322
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence PA6762 (MA)

Record details

NPI number1154805281
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2018
Last updated in NPPESSeptember 25, 2018
Mailing address831 E 2nd St # 2, South Boston, MA 02127-2333

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mass General Brigham Medical Group Northern Massachusetts Inc — 819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Boston