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TYISHA GASKIN
NPI 1508393315
Student in an Organized Health Care Education/Training Program in Forest Hills, NY

Active since May 11, 2017PECOS Enrolled
104-70 QUEENS BOULEVARD, SUITE 200, FOREST HILLS, NY 11375(718) 275-6010 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2020, May 11, 2017 (2 updates tracked since 2017).

About Tyisha Gaskin NPPES

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

TYISHA GASKIN (NPI 1508393315) is an individual student in an organized health care education/training program in Forest Hills, New York and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Melville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508393315
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTYISHA GASKIN
Location Address104-70 QUEENS BOULEVARD, SUITE 200Forest Hills, NY 11375
Mailing Address46 Lincoln PlMassapequa, NY 11758-7036
Phone(718) 275-6010
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 11, 2017
Last NPPES UpdateJune 19, 20202 updates tracked since enumeration
NPPES CertifiedJune 19, 2020
✔ NPI 1508393315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
104-70 QUEENS BOULEVARD, Forest Hills, NY 11375
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Secondary Practice Location 1

Location 1225 Broadhollow RdMelville, NY 11747-4822 · Phone (631) 385-7780

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyisha Gaskin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931683612
PECOS Enrollment IDI20260320000321
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 3

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

THOMAS HEALY LMSW, CASAC, SAP
Social Worker (Clinical)
104-70 QUEENS BOULEVARD, SUITE 307
FOREST HILLS, NY 11375
Queens County (718) 275-4174
VALERIE KEIL LMSW
Social Worker
104-70 QUEENS BOULEVARD, SUITE 200
FOREST HILLS, NY 11375
Queens County (718) 275-6010
BLEULER PSYCHOTHERAPY CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
104-70 QUEENS BOULEVARD, SUITE 200
FOREST HILLS, NY 11375
Queens County (718) 275-6010

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 Tyisha Gaskin's NPI number?

The NPI number for Tyisha Gaskin is 1508393315. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Tyisha Gaskin located?

Tyisha Gaskin practices at 104-70 Queens Boulevard Suite 200, Forest Hills, NY 11375. The listed phone number is (718) 275-6010.

What is Tyisha Gaskin's specialty?

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

Is Tyisha Gaskin enrolled in Medicare?

Yes. Tyisha Gaskin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyisha Gaskin was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.