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

Dr. Alexis Nicheporuck, MD

Individual provider Diagnostic Radiology Physician · NPI 1336760784

Dr. Alexis Nicheporuck, MD is a Diagnostic Radiology in Staten Island, New York. Graduated from Rutgers New Jersey Medical School in 2020, 6 years ago. Practices with Methodist Associates in Healthcare, Inc, a 391-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Trained at
Rutgers New Jersey Medical School
Licensed in
PA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-8313
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD491302 (PA)

Record details

NPI number1336760784
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 27, 2020
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice Methodist Associates In Healthcare, Inc — 391 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Staten Island