About Us

Meet Our Experienced Team - Staff

Our Boston Direct Health team strives to provide outstanding care at every step of your wellness journey. We are here to serve you and ensure a smooth experience, no matter how small or great your need. Each of our team members brings a wealth of industry experience to our Boston, MA office and loves helping patients thrive through reliable primary care.
Dr. Steven Zivich of Boston Direct Health.

Dr. Steven Zivich

Dr. Steven Zivich is a seasoned medical physician in Boston, MA who specializes in primary and holistic medicine. He is board certified in family medicine by the American Board of Family Medicine and certified in functional medicine by The Institute for Functional Medicine.
As a DPC provider, Dr. Zivich is able to spend more time with his patients to understand, diagnose, and treat their medical concerns. His goal is to provide patient-centered care that doesn’t just address presenting symptoms but the underlying problem. He incorporates multidisciplinary modalities to treat patients as a whole.
Amanda Digitale, RN injector at Boston Direct Health.

Amanda Digitale, RN

Amanda Digitale is our primary aesthetic nurse injector here at Boston Direct Health. Amanda’s mission and passion as a registered nurse has always been to simply help people. Graduating from Boston College with her BSN in 2014, Amanda joined the Hematology/Oncology division at Beth Israel Deaconess Medical Center where she has been for the past 6 years. She decided to advance her nursing career by pursuing the field of aesthetics in hopes of treating “the whole person,” connecting body, mind, and soul. Her goal for everyone who leaves her office is that they leave with a newfound love and confidence in themselves. Certified under plastic surgeon Dr. Joseph A. Russo and through the Aesthetic Institute of Massachusetts, Amanda has become certified in neurotoxins, dermal filler, kybella, and platelet rich plasma (PRP). Although Italian, Amanda is fluent in Spanish, a big part of her cultural roots are in Venezuela. When Amanda is not working, she loves spending time with her pup Pasquale, being outside, binging Netflix, traveling, and eating pasta.

Joseph Putignano, RN at Boston Direct Health.

Joseph Putignano, RN

Joseph Putignano is a registered nurse undergoing advanced training to excel as an aesthetic nurse at Boston Direct Health. His specialties include performing cosmetic injections, such as wrinkle relaxers (like BOTOX®), dermal fillers (like JUVÉDERM®), and KYBELLA®. Joseph is a former gymnast and contortionist who performed on Broadway and with Cirque du Soleil. Even though he is retired from performing, he still enjoys doing handstands on the furniture around the office.

Josh Putignano, Health Coach - Admin at Boston Direct Health.

Josh Putignano, Health Coach - Admin

Josh Putignano graduated with a masters in Kinesiology from the University of Southern California, trained him to think about human movement as an apex of complex systems. He creates solutions to make the human machine operate at its maximum efficiency through proper movement and nutrition, which is why he has been a Personal Trainer since 2007. In addition to Administrative Duties, Josh assists Boston Direct Health clients with their health, fitness, and weight management/nutritional needs. Additionally, Josh is a medically retired US Army Officer, having achieved the rank of Captain (O-3) and having led the 947th Military Police Detachment K-9 based out of Fort McNair, Washington, DC. He had three deployments to Iraq for Operation Iraqi Freedom, having earned a Distinguished Flying Cross, Bronze Star, Purple Heart, and Meritorious Service Medal. Originally from Seattle, WA, He is married to Joe, the BSN/RN here at BDH and we have our Beagle, Pasta, that is behind the desk with Dr. Zivich’s dog Penni.

Michelle Michienzi, Admin at Boston Direct Health.

Michelle Michienzi, Admin

Michelle Michienzi is Dr. Steven Zivich's administrative assistant here at Boston Direct Health. She is the point person for coordinating patient care and ensuring that each of our clients receives an easy, breezy experience at our aesthetic and primary care practice.

Casandra Petrola

Casandra Petrola is one of our administrative assistants as well as our social media manager. She helps patients with their scheduling, billing, and medical record needs. Her years of excellent customer service brings comfort to all our patients when communicating with them. Casandra comes to us with a degree in graphic design and knowledge about social media marketing. She is the go to person when creating graphics to reach our aesthetic and primary care patients.

Boston Direct Health signage on the wall.
Comfortable seating area at Boston Direct Health.

Boston Direct Health | Boston, MA


Boston Direct Health in Boston, MA is thrilled to serve men, women, and LGBTQ+ patients with premier primary care and aesthetics. Our modern facility is conveniently situated just minutes away from downtown Boston and the Massachusetts Turnpike. Each aspect of our office was designed with the patient in mind. Within our venue, we feature a relaxing waiting area, individual treatment rooms, and private bathrooms. Whether you are a local or out-of-town patient, do not hesitate to call our office for directions or assistance.(610) 304-1965 We are here to serve you.

Boston Direct Health is centrally located in bustling Boston, Massachusetts off of Arlington Street and Boylston Street near Boston Public Garden.