TYLER MALDONADO
NPI 1821781253
Nurse Practitioner - Family in New Hyde Park, NY
About Tyler Maldonado NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER MALDONADO (NPI 1821781253) is an individual family provider in New Hyde Park, New York, licensed in New York (F349526-01) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tyler Maldonado is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tyler Maldonado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Merrick, NY 11566
- Reassigned Medicare billing, New York enrollment
- 178 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11042 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HYDE PARK, NY 11042
NEW HYDE PARK, NY 11042
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 Tyler Maldonado's NPI number?
The NPI number for Tyler Maldonado is 1821781253. It was assigned to this individual provider in the NPPES registry on May 31, 2023.
Where is Tyler Maldonado located?
Tyler Maldonado practices at 410 Lakeville Rd Ste 212, New Hyde Park, NY 11042. The listed phone number is (718) 470-4198.
What is Tyler Maldonado's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tyler Maldonado enrolled in Medicare?
Yes. Tyler Maldonado is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tyler Maldonado's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Maldonado reassigns Medicare benefits to True North Medical Group PC (Merrick, 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 Tyler Maldonado'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 Tyler Maldonado was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tyler Maldonado · NPI 1821781253
Family physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since May 31, 2023.
## Identity
- **NPI:** 1821781253 (Entity type: Individual)
- **Enumerated:** May 31, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F349526-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 410 LAKEVILLE RD STE 212, New Hyde Park, NY 11042-1122
- **Phone:** (718) 470-4198
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** True North Medical Group PC (NPI 1659883486, Merrick, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1821781253) · Data from the CMS NPPES public registry.