Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan Golub

Individual provider Orthopaedic Surgery Physician · NPI 1063974996

Ivan Golub is an Orthopedic Surgery in Boston, Massachusetts. Graduated from Rutgers, Robert Woood Johnson Medical School in 2019, 7 years ago. Practices with Maimonides Medical Center Orthopaedic Fpp, a 25-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Trained at
Rutgers, Robert Woood Johnson Medical School
Licensed in
MA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-9111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 75 Francis St, Boston, MA 02115-6110 — (617) 732-5500
  • Maimonides Medical Center, Brooklyn, NY 11219 — (718) 283-6000

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 1018314 (MA)

Record details

NPI number1063974996
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2019
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolRUTGERS, ROBERT WOOOD JOHNSON MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Maimonides Medical Center Orthopaedic Fpp — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Boston