Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Krasnoff, PA-C

Individual provider Physician Assistant · NPI 1700436136

Stacey Krasnoff, PA-C is a Physician Assistant in West Haven, Connecticut. Qualified in 2019, 7 years ago. Practices with Broadway Medical Group LLC, a 3-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1 Cellini Pl
West Haven, CT 06516-1666
Phone: (203) 488-7228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1700436136
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 17, 2019
Last updated in NPPESNovember 7, 2023
Certification dateAugust 3, 2023
Mailing address322 E Main St Ste 1b, Branford, CT 06405-3136

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Broadway Medical Group Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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