ALIXANDER RYAN PUPO WISS MD
NPI 1285572479
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since March 23, 2026
55 LAKE AVE N, WORCESTER, MA 01655(508) 856-8989 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alixander Ryan Pupo Wiss Md NPPES

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

ALIXANDER RYAN PUPO WISS MD (NPI 1285572479) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1285572479
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALIXANDER RYAN PUPO WISSCredential: MD
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address55 Lake Ave NWorcester, MA 01655-0002 · (508) 856-8989
Sole ProprietorYes
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 22, 2026
NPI 1285572479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
55 LAKE AVE N, Worcester, MA 01655

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Alixander Pupo Wiss's NPI number?

The NPI number for Alixander Pupo Wiss is 1285572479. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Alixander Pupo Wiss located?

Alixander Pupo Wiss practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 856-8989.

What is Alixander Pupo Wiss's specialty?

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

When was this NPI record last updated?

The NPPES record for Alixander Pupo Wiss was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.