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

Lauren I Krzos

Individual provider Physician Assistant · NPI 1689203606

Lauren I Krzos is a Physician Assistant in Massapequa, New York. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

550 Broadway
Massapequa, NY 11758-5013
Phone: (516) 809-9666
Fax: (516) 809-9665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 026022 (NY)

Record details

NPI number1689203606
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 2, 2020
Last updated in NPPESJanuary 29, 2023
Certification dateJanuary 29, 2023
Mailing address550 Broadway, Massapequa, NY 11758-5013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Massapequa