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ALEXANDER REAL
NPI 1053058628
Student in an Organized Health Care Education/Training Program in Newton, MA

Active since May 16, 2022PECOS Enrolled
291 NAHANTON ST, NEWTON, MA 02459(617) 694-0820 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Alexander Real NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER REAL (NPI 1053058628) is an individual student in an organized health care education/training program in Newton, Massachusetts and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053058628
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEXANDER REAL
Location Address291 NAHANTON STNewton, MA 02459-2900
Mailing Address291 Nahanton StNewton, MA 02459-2900 · (617) 694-0820
Phone(617) 694-0820
Sole ProprietorYes
Enumeration DateMay 16, 2022
NPPES CertifiedMay 16, 2022
✔ NPI 1053058628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
291 NAHANTON ST, Newton, MA 02459
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Other Identifiers 1

OtherS37078985MA · Rmv License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Real is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Real's NPI number?

The NPI number for Alexander Real is 1053058628. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Alexander Real located?

Alexander Real practices at 291 Nahanton St, Newton, MA 02459. The listed phone number is (617) 694-0820.

What is Alexander Real's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alexander Real enrolled in Medicare?

Yes. Alexander Real is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Real was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.