NIKKI DYAN BLOCH
NPI 1255919700
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Nikki Bloch's NPI number?

The NPI number for Nikki Bloch is 1255919700. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Nikki Bloch's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nikki Bloch was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 29, 2021PECOS Enrolled

111 E 210TH ST, BRONX, NY 10467(718) 920-7967(718) 882-3185 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nikki Dyan Bloch NPPES

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

NIKKI DYAN BLOCH (NPI 1255919700) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255919700

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNIKKI DYAN BLOCH

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-7967 · Fax (718) 882-3185

Phone(718) 920-7967

Fax(718) 882-3185

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 29, 2021

NPPES CertifiedMarch 29, 2021

✔ NPI 1255919700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 E 210TH ST, Bronx, NY 10467

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikki Dyan Bloch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638649627

PECOS Enrollment IDI20260601001002

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.

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.

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)