ALEC PRUCHNICKI MD
NPI 1104934736
General Practice in New York, NY

Q: What is Alec Pruchnicki's NPI number?

The NPI number for Alec Pruchnicki is 1104934736. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Q: What is Alec Pruchnicki's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Alec Pruchnicki was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 25, 2006PECOS Enrolled

1261 5TH AVE, NEW YORK, NY 10029(212) 534-5400 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Alec Pruchnicki Md NPPES

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

ALEC PRUCHNICKI MD (NPI 1104934736) is an individual general practice provider in New York, New York, licensed in New York (182266) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104934736

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameALEC PRUCHNICKICredential: MD

Location Address1261 5TH AVENew York, NY 10029-3822

Mailing Address450 W 33rd St, Pbs 12th FloorNew York, NY 10001-2603 · (212) 356-4474 · Fax (212) 356-4608

Phone(212) 534-5400

Sole ProprietorNo

Enumeration DateAugust 25, 2006

Last NPPES UpdateFebruary 25, 2019

✔ NPI 1104934736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NY · 182266

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1261 5TH AVE, New York, NY 10029

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Other Identifiers 1

Medicaid02229138NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alec Pruchnicki Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Alec Pruchnicki reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Icahn School Of Medicine At Mount Sinai

0.4 mi

Occupational Medicine

1468 MADISON AVE FL 3
New York, NY 10029

Reassigned Medicare billing, New York enrollment
Also billed through NPI 1689947160 (New York)
769 clinicians in this Medicare group

NPI 1427493113 (888) 702-0630

Icahn School Of Medicine At Mount Sinai

0.9 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1111 AMSTERDAM AVENUE
New York, NY 10002

Reassigned Medicare billing, New York enrollment
346 clinicians in this Medicare group

NPI 1124497912 (212) 523-4000

Visiting Services, LLC

23 mi

Primary Care

240 N MAIN ST
Spring Valley, NY 10977

Reassigned Medicare billing, New York enrollment
69 clinicians in this Medicare group

NPI 1083241392 (845) 374-0410

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

901 services120 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

119 services61 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

107 services91 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

97 services63 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

68 services68 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

34 services28 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES DESCALSO JR. OT

Occupational Therapist

1261 5TH AVE, OFFICE #5
NEW YORK, NY 10029

New York County (877) 407-3422

LOTT COMMUNITY HOME HEALTH CARE INC.

Home Health

1261 5TH AVE
NEW YORK, NY 10029

New York County (212) 534-6464

LOTT ASSISTED LIVING RESIDENCE

Assisted Living Facility

1261 5TH AVE
NEW YORK, NY 10029

New York County (212) 534-6464

MATTHEW S WELT OTR

Occupational Therapist

1261 5TH AVE
NEW YORK, NY 10029

New York County (212) 534-6464

ALEXA TIMO PT, DPT

Physical Therapist

1261 5TH AVE
NEW YORK, NY 10029

New York County (212) 534-6464

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 Alec Pruchnicki's NPI number?

The NPI number for Alec Pruchnicki is 1104934736. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Alec Pruchnicki located?

Alec Pruchnicki practices at 1261 5th Ave, New York, NY 10029. The listed phone number is (212) 534-5400.

What is Alec Pruchnicki's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Alec Pruchnicki enrolled in Medicare?

Yes. Alec Pruchnicki is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alec Pruchnicki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alec Pruchnicki reassigns Medicare benefits to 3 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY), Icahn School Of Medicine At Mount Sinai (New York, NY) and Visiting Services, LLC (Spring Valley, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alec Pruchnicki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alec Pruchnicki was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.