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DR. NICOLAI ALEXANDRE TAYCO MD
NPI 1720729080
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since April 02, 2022PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 741-2460 Get Directions Write a Review

NPPES record last updated: April 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Nicolai Alexandre Tayco Md NPPES

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

DR. NICOLAI ALEXANDRE TAYCO MD (NPI 1720729080) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720729080
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NICOLAI ALEXANDRE TAYCOCredential: MD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401
Phone(718) 741-2460
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 2, 2022
NPPES CertifiedApril 2, 2022
✔ NPI 1720729080 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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicolai Alexandre Tayco Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052800638
PECOS Enrollment IDI20251103001439
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 Reassignment

Medicare enrollment records show Nicolai Alexandre Tayco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
Same address
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

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

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.

HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
JACK DANIEL HALLIGAN MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Nicolai Alexandre Tayco's NPI number?

The NPI number for Nicolai Alexandre Tayco is 1720729080. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Where is Nicolai Alexandre Tayco located?

Nicolai Alexandre Tayco practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 741-2460.

What is Nicolai Alexandre Tayco's specialty?

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

Is Nicolai Alexandre Tayco enrolled in Medicare?

Yes. Nicolai Alexandre Tayco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicolai Alexandre Tayco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolai Alexandre Tayco reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). The 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 Nicolai Alexandre Tayco'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 Nicolai Alexandre Tayco was last updated on April 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.