DR. ALEXIS NICHEPORUCK MD
NPI 1336760784
Radiology - Diagnostic Radiology in Staten Island, NY
About Dr. Alexis Nicheporuck Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALEXIS NICHEPORUCK MD (NPI 1336760784) is an individual diagnostic radiology provider in Staten Island, New York, licensed in Pennsylvania (MD491302) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Rutgers New Jersey Medical School (2020).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Alexis Nicheporuck Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jefferson Health- Northeast
Acute Care Hospitals · Philadelphia, PAThomas Jefferson University Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
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 Alexis Nicheporuck's NPI number?
The NPI number for Alexis Nicheporuck is 1336760784. It was assigned to this individual provider in the NPPES registry on April 27, 2020.
Where is Alexis Nicheporuck located?
Alexis Nicheporuck practices at 475 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-8313.
What is Alexis Nicheporuck's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Alexis Nicheporuck enrolled in Medicare?
Yes. Alexis Nicheporuck is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Alexis Nicheporuck affiliated with any hospitals?
According to CMS data, Alexis Nicheporuck is affiliated with Jefferson Health- Northeast and Thomas Jefferson University Hospital.
When was this NPI record last updated?
The NPPES record for Alexis Nicheporuck was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
