Learn More

Meet Our Experienced Team - Staff

Our Boston, MA Team

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. 

Meet Amanda


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.

Meet Joseph


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.

Meet Josh


Josh Putignano, 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.

Meet Michelle


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.

Meet Gabriel


Gabriel Costa - Dexa Scanner Technologist

Gabriel Costa is the office DXA Scanner technologist who performs body composition testing and metabolic testing on clients at our satellite location, 400 Commonwealth Ave, Boston, MA 02116. Gabriel is a NASM certified personal trainer and an international competitor in Brazilian Jiu Jitsu training at Brazilian Top Team Boston.

Related Posts

*Individual results are not guaranteed and may vary from person to person. Images may contain models.