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

Individual provider Family Nurse Practitioner · NPI 1558169466

Alexa Marie Kroczynski is a Nurse Practitioner in Staten Island, New York. Qualified in 2024, 2 years ago. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

108 Winfield St
Staten Island, NY 10305-3542
Phone: (718) 873-4251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 356308 (NY)

Record details

NPI number1558169466
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2025
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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