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

Mr. Alexander Peguero-Medrano, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1033647623

Mr. Alexander Peguero-Medrano, NP is a Nurse Practitioner in Stony Brook, New York. Qualified in 2017, 9 years ago. Practices with Stony Brook Psychiatric Associates University Faculty Practice Corpor, a 101-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

169 Putnam Hall
Stony Brook, NY 11794-3240
Phone: (631) 632-9510
Fax: (631) 632-5870
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (3)

  • 2590 Frisby Ave, Bronx, NY 10461-3240 — (718) 239-1610
  • 318 Jericho Tpke Apt 1, Floral Park, NY 11001-2108 — (516) 314-7056
  • 430 Lakeville Rd, New Hyde Park, NY 11042-1121 — (516) 470-8910

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 402196 (NY)

Record details

NPI number1033647623
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedMay 26, 2017
Last updated in NPPESDecember 27, 2022
Certification dateDecember 27, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Stony Brook Psychiatric Associates University Faculty Practice Corpor — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Stony Brook