Healthcare Provider Details

I. General information

NPI: 1093494320
Provider Name (Legal Business Name): JUSTINE NOELLE PITT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2023
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 CONCORD AVE STE 1200
CAMBRIDGE MA
02138-1055
US

IV. Provider business mailing address

330 MT AUBURN ST PARSONS 2
CAMBRIDGE MA
02138-5597
US

V. Phone/Fax

Practice location:
  • Phone: 617-503-1000
  • Fax: 617-547-0184
Mailing address:
  • Phone: 617-503-1000
  • Fax: 617-547-0184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2336510
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN2336510
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN2336510
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2336510
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: