Alexandrov MD CLR PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ALEXANDROV MD CLR PC

Practice address

5 Cedar Ridge LN
Mansfield, MA 02048-3284

Phone

(973) 978-9037

NPI assigned

Aug 19, 2024

Last updated

Aug 19, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Alexandrov, MDNPI 1215358510

Title

Cmo

Phone

(973) 978-9037

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Alexandrov, M.D.

  • Internal Medicine Physician
  • Woonsocket, RI
  • NPI 1215358510
  NPD Authorized official
• Ibrahim A. Elgabry, M.D.

  • Cardiovascular Disease Physician
  • Woonsocket, RI
  • NPI 1518969195
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1902638729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CEDAR RIDGE LN",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020483284",
            "telephone_number": "973-978-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CEDAR RIDGE LN",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020483284",
            "telephone_number": "973-978-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDROV MD CLR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "ALEXANDROV",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "973-978-9037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Suad Al-Sufyani
• Yasmin Aladl
• Sheebah Alexis, BCBA
• All About You Adult Foster Care LLC
• All About You Group Adult Foster Care LLC
• All Well Health Services Inc
• Ally Behavioral Health, LLC

• Health Service Clinic/Center in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Health Service Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.