ALEXANDRA IVANOV
NPI 1700771292
Internal Medicine - Critical Care Medicine in South Weymouth, MA

Active since June 12, 2025
55 FOGG RD, SOUTH WEYMOUTH, MA 02190(781) 624-8000 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexandra Ivanov NPPES

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

ALEXANDRA IVANOV (NPI 1700771292) is an individual critical care medicine provider in South Weymouth, Massachusetts, licensed in Massachusetts (0) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1700771292
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameALEXANDRA IVANOV
Location Address55 FOGG RDSouth Weymouth, MA 02190-2432
Mailing Address12 Hancock St Apt 1Somerville, MA 02144-3103 · (727) 385-5715
Sole ProprietorNo
Enumeration DateJune 12, 2025
NPPES CertifiedJune 12, 2025
NPI 1700771292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in MA · 0
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
55 FOGG RD, South Weymouth, MA 02190

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.

Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Radiology (Diagnostic Radiology)
55 FOGG RD
WEYMOUTH, MA 02190
Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Dietitian, Registered
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Nurse Practitioner (Psychiatric/Mental Health)
55 FOGG RD
WEYMOUTH, MA 02190
Pediatrics
55 FOGG RD
S WEYMOUTH, MA 02190
Social Worker (Clinical)
55 FOGG RD
WEYMOUTH, MA 02190
Student in an Organized Health Care Education/Training Program
55 FOGG RD
SOUTH WEYMOUTH, MA 02190

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 Alexandra Ivanov's NPI number?

The NPI number for Alexandra Ivanov is 1700771292. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Where is Alexandra Ivanov located?

Alexandra Ivanov practices at 55 Fogg Rd, South Weymouth, MA 02190. The listed phone number is (781) 624-8000.

What is Alexandra Ivanov's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

When was this NPI record last updated?

The NPPES record for Alexandra Ivanov was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.