National Provider Identifier

Marissa Irene Johnson, PA-C

Marissa Irene Johnson, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 278-0055.

NPI 1447703525Boston, MAPhysician Assistant

Source: public NPPES record, last updated June 26, 2026. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1447703525
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 26, 2016
Last Updated
June 26, 2026

Practice Location

  • 450 Brookline Ave
  • Boston, MA 02215-5450

Phone: (617) 278-0055

Specialties

  • Physician Assistant (363A00000X)
  • Medical Physician Assistant (363AM0700X)

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Biography

Marissa Johnson, PA-C, is a physician assistant affiliated with Lahey Hospital & Medical Center and Lahey Clinic Inc. Her professional profile lists physician assistant training at Massachusetts College of Pharmacy and Health Sciences in Worcester, completed in 2015.

Full Record
NPI
1447703525
Entity Type
Individual
Last Name
Johnson
First Name
Marissa
Middle Name
Irene
Credential
PA-C
Mailing Street Address
450 Brookline Ave
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02215-5450
Mailing Country
US
Practice Street Address
450 Brookline Ave
Practice City
Boston
Practice State
MA
Practice ZIP Code
02215-5450
Practice Country
US
Practice Phone
(617) 278-0055
Enumeration Date
July 26, 2016
Last Updated
June 26, 2026
Sex
Female
Sole Proprietor
No
Certification Date
June 26, 2026
Taxonomies
Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)