Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MELISSA D KROENCKE
NPI 1053232074
Specialist in Deer Park, NY

Active since July 24, 2026
238 W 16TH ST, DEER PARK, NY 11729(631) 455-5522 Get Directions Write a Review

NPPES record added: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melissa D Kroencke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA D KROENCKE (NPI 1053232074) is an individual specialist in Deer Park, New York and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1053232074
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMELISSA D KROENCKE
Location Address238 W 16TH STDeer Park, NY 11729-5818
Mailing Address238 W 16th StDeer Park, NY 11729-5818
Sole ProprietorYes
Enumeration DateJuly 24, 2026
NPPES CertifiedJuly 24, 2026
NPI 1053232074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

238 W 16TH ST, Deer Park, NY 11729

Other Names 1

Other Name (5)Mrs. Melissa D Washburn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Kroencke's NPI number?

The NPI number for Melissa Kroencke is 1053232074. It was assigned to this individual provider in the NPPES registry on July 24, 2026. The provider is also known as Mrs. Melissa D Washburn.

Where is Melissa Kroencke located?

Melissa Kroencke practices at 238 W 16th St, Deer Park, NY 11729. The listed phone number is (631) 455-5522.

What is Melissa Kroencke's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Melissa Kroencke was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.