Active NPI
Renee Elizabeth Kravchak
- Registered Nurse
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN709540
- Practice address
- 325 Chestnut St Ste 800
Philadelphia, PA 19106-2608 - Phone
- (973) 241-1356
- NPI assigned
- Oct 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP030629 | PA | |
| Registered Nurse | 163W00000X | RN709540 | PA | Primary |
Addresses
Primary practice location
325 Chestnut St Ste 800
Philadelphia, PA 19106-2608
Mailing address
1126 Bryan St
Drexel Hill, PA 19026-1812
Phone (215) 385-6444
Other practice location 1
1126 Bryan St
Drexel Hill, PA 19026-1812
Phone (215) 385-6444 ext. 56444
Other practice location 2
101 Greenwood Ave Ste 140
Jenkintown, PA 19046-2649
Phone (973) 241-1356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
325 Chestnut St
Suite 800
Philadelphia, PA 19106-2608
Phone (973) 241-1356
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN709540 | PA | MD | Registered Nurse |
| SP030629 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennoble HC NJ II PC | Current | Accepting new patients | |
| Ennoble HC NJ PC | Current | Accepting new patients | |
| Ennoble HC NJ III PC | Current | Accepting new patients |
Locations
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
101 Greenwood Ave
Ste 140
Jenkintown, PA 19046
Phone (973) 241-1356
325 Chestnut St
Ste 800
Philadelphia, PA 19106
Phone 9732411356 ext. 11356
Organizations & group practices 3
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1043192099
PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1730057779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 BRYAN ST",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190261812",
"telephone_number": "215-385-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 CHESTNUT ST STE 800",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191062608",
"telephone_number": "973-241-1356"
}
],
"practiceLocations": [
{
"address_1": "1126 Bryan St",
"address_purpose": "LOCATION",
"city": "Drexel Hill",
"state": "PA",
"postal_code": "190261812",
"country_code": "US",
"telephone_number": "215-385-6444 x56444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Greenwood Ave Ste 140",
"address_purpose": "LOCATION",
"city": "Jenkintown",
"state": "PA",
"postal_code": "190462649",
"country_code": "US",
"telephone_number": "973-241-1356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAVCHAK",
"first_name": "RENEE",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-29",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP030629",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN709540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.