Individual provider Active NPI

Alexa Dena Bruce, PA - C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1083394167
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
35110 Issued in NY
Practice address
535 E 70TH St
New York, NY 10021-4823
Phone
(212) 224-7988
Fax
(917) 260-4828
NPI assigned
Jul 24, 2023
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 35110 NY Primary
Medical Physician Assistant 363AM0700X NU

Addresses

Primary practice location

535 E 70TH St
New York, NY 10021-4823

Mailing address

PO Box 29234
New York, NY 10087-9234
Phone (212) 224-7988

Other practice location 1

523 E 72nd St
New York, NY 10021-4099
Phone (212) 224-7988

Other practice location 2

333 Earle Ovington Blvd Ste 101
Uniondale, NY 11553-3645
Phone (212) 224-7988

Other practice location 3

17660 Union Tpke Ste 190
Fresh Meadows, NY 11366-1538
Phone (212) 224-7988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402002443 CT Practitioner - Physician Assistant 3577901107 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians

Practice addresses (Care Compare)

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6472CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jun 20, 2024 Accepting new patients
Norwich Orthopedic Group, P.C. CurrentSince Apr 1, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 20, 2024 Accepting new patients
Norwich Orthopedic Group, P.C. CurrentSince Apr 1, 2024 Accepting new patients
William W Backus Hospital CurrentSince Jun 20, 2024 Accepting new patients

Locations

11 Industrial Park Rd
Niantic, CT 06357
Phone (860) 889-7345

82 New Park Ave
North Franklin, CT 06254
Phone (860) 885-7223

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1083394167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29234",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100879234",
            "telephone_number": "212-224-7988",
            "fax_number": "917-260-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E 70TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214823",
            "telephone_number": "212-224-7988",
            "fax_number": "917-260-4828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "523 E 72nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214099",
            "country_code": "US",
            "telephone_number": "212-224-7988",
            "fax_number": "917-260-4828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Earle Ovington Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Uniondale",
            "state": "NY",
            "postal_code": "115533645",
            "country_code": "US",
            "telephone_number": "212-224-7988",
            "fax_number": "917-260-4828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17660 Union Tpke Ste 190",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113661538",
            "country_code": "US",
            "telephone_number": "212-224-7988",
            "fax_number": "917-260-4828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "ALEXA",
        "middle_name": "DENA",
        "credential": "PA - C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "35110",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.