Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Crouse Medical Practice Pllc

Physician Assistant in East Syracuse, NY · enumerated 2012 · authorized official Paul Kronenberg, Sole Shareholder.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386990638

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Registry record

Entity type Organization (Type 2)

Legal business name Crouse Medical Practice Pllc

Other name <Unavail>

Parent organization Crouse Medical Practice Pllc

Practice address 5823 Widewaters Pkwy, East Syracuse, NY, 13057

Phone (315) 474-6824

Enumeration date Jul 24, 2012

Last updated in NPPES Jul 24, 2012

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Paul Kronenberg

Title Sole Shareholder

Phone (315) 470-7825

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Crouse Medical Practice Pllc located?

The practice location on file with NPPES is in East Syracuse, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-07-24. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-24.