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

Raielle Andra Novick

Individual provider Physician Assistant · NPI 1265173058

Raielle Andra Novick is a Physician Assistant in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Coastal Medical Associates, a 446-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022
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Practice location Address checks out

725 Albany St Ste 4B
Boston, MA 02118-3549
Phone: (617) 638-5633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2 Pond Park Rd, Hingham, MA 02043-4347 — (781) 624-8352
  • 55 Fogg Rd, Weymouth, MA 02190-2432 — (781) 624-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9118 (MA)

Record details

NPI number1265173058
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Coastal Medical Associates — 446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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