Individual provider Active NPI

Taylor Nichole Krawczyk

  • Family Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1457193393
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F352818 Issued in NY
Practice address
2001 Marcus Ave Ste N214
New Hyde Park, NY 11042-1087
Phone
(516) 437-4228
NPI assigned
Jun 11, 2024
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F352818 NY Primary

Addresses

Primary practice location

2001 Marcus Ave Ste N214
New Hyde Park, NY 11042-1087

Mailing address

710 Clocks Blvd
Massapequa, NY 11758-6902
Phone (516) 849-7688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240823001537 NY Practitioner - Nurse Practitioner 8628517570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Hollow LN
Suite 206
New Hyde Park, NY 11042-1207

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Professionals PLLC CurrentSince Jul 15, 2024 Accepting new patients
Integrated Medical Professionals PLLC CurrentSince Jul 15, 2024 Accepting new patients

Locations

1 Hollow Ln
Ste 206
New Hyde Park, NY 11042
Phone (516) 931-0041

2001 Marcus Ave
Ste N214
North New Hyde Park, NY 11042
Phone (516) 437-4228

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

Interoperability endpoints

  • Direct secure messaging: taylorkrawczyk@imppllc.allscriptsdirect.net

Organizations & group practices 2

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 1

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": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1457193393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CLOCKS BLVD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586902",
            "telephone_number": "516-849-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE N214",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421087",
            "telephone_number": "516-437-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWCZYK",
        "first_name": "TAYLOR",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F352818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.