Individual provider Active NPI

Alexandra Gronczewski

  • Family Nurse Practitioner
  • Princeton, NJ
National Provider Identifier
1477241958
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01475100 Issued in NJ
Practice address
20 Elm Rd
Princeton, NJ 08540-2502
Phone
(609) 610-3222
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01475100 NJ Primary
Family Nurse Practitioner 363LF0000X 26NJ014751000 NJ

Addresses

Primary practice location

20 Elm Rd
Princeton, NJ 08540-2502

Mailing address

20 Elm Rd
Princeton, NJ 08540-2502
Phone (609) 610-3222

Other practice location 1

208 Bunn Dr
Princeton, NJ 08540-2851
Phone (609) 683-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20251006003869 NJ Practitioner - Nurse Practitioner 6204333446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Dermatology AssociatespcGroup PAC ID 1052377215, 16 clinicians

Practice addresses (Care Compare)

208 Bunn Dr
Princeton, NJ 08540-2851
Phone (609) 683-4999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01475100NJMDFamily Nurse Practitioner
26NJ014751000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Dermatology Associates II LLC CurrentSince Apr 1, 2026 Accepting new patients
Princeton Dermatology Associates PC CurrentSince Aug 15, 2025 Accepting new patients

Locations

1950 Route 27
Ste A
North Brunswick, NJ 08902
Phone (732) 297-8866

5 Plainsboro Rd
Ste 550
Plainsboro, NJ 08536
Phone (609) 269-9230

208 Bunn Dr
Princeton, NJ 08540
Phone (609) 683-4999

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1477241958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ELM RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402502",
            "telephone_number": "609-610-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ELM RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402502",
            "telephone_number": "609-610-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Bunn Dr",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085402851",
            "country_code": "US",
            "telephone_number": "609-683-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRONCZEWSKI",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01475100",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ014751000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.