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JAY MALVIN REYES TIA
NPI 1942817317
Student in an Organized Health Care Education/Training Program in New York, NY

Active since September 29, 2020PECOS Enrolled
1901 1ST AVE, NEW YORK, NY 10029(212) 423-6262 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jay Malvin Reyes Tia NPPES

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

JAY MALVIN REYES TIA (NPI 1942817317) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1942817317
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAY MALVIN REYES TIA
Location Address1901 1ST AVENew York, NY 10029-7491
Mailing Address1798 3rd Ave Apt 3bNew York, NY 10029-6196 · (415) 271-3409
Phone(212) 423-6262
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 29, 2020
NPPES CertifiedSeptember 29, 2020
✔ NPI 1942817317 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.
1901 1ST AVE, New York, NY 10029
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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)

Jay Malvin Reyes Tia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688018849
PECOS Enrollment IDI20250409000232
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 Reassignments

2

Medicare enrollment records show Jay Malvin Tia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
1.6 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331
Baltimore Medical Systems, Inc.
173 mi
Federally Qualified Health Center (FQHC)
5525 EASTERN AVE
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Baltimore Medical System, Inc.
  • 243 clinicians in this Medicare group
NPI 1164138152 (410) 558-4084

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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.

KENNETH BOMPAROLA PA
Physician Assistant
1901 1ST AVE
NEW YORK, NY 10029
New York County (212) 423-6262
ESEOGHENE INYANG AKAMUNE PHARMD
Pharmacist (Pharmacotherapy)
1901 1ST AVE
NEW YORK, NY 10029
New York County (212) 423-6262
JONATHAN CHABON MD
Emergency Medicine
1901 1ST AVE
NEW YORK, NY 10029
New York County (212) 423-6684
KRITI BHANDARI MD
Student in an Organized Health Care Education/Training Program
1901 1ST AVE
NEW YORK, NY 10029
New York County (646) 988-5168
SEBASTIAN MARK MENDEZ
Psychiatry & Neurology (Psychiatry)
1901 1ST AVE
NEW YORK, NY 10029
New York County (646) 672-3143
KYRA QUYNN MANAYAN-LEONARD MD
Student in an Organized Health Care Education/Training Program
1901 1ST AVE
NEW YORK, NY 10029
New York County (844) 692-4692
ELENA ALAYETO LCSW
Social Worker (Clinical)
1901 1ST AVE
NEW YORK, NY 10029
New York County (212) 423-8633
BEATA EDYTA POPIS-MATEJAK MD
Internal Medicine (Critical Care Medicine)
1901 1ST AVE
NEW YORK, NY 10029
New York County (212) 423-6771

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 Jay Malvin Tia's NPI number?

The NPI number for Jay Malvin Tia is 1942817317. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Where is Jay Malvin Tia located?

Jay Malvin Tia practices at 1901 1st Ave, New York, NY 10029. The listed phone number is (212) 423-6262.

What is Jay Malvin Tia's specialty?

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

Is Jay Malvin Tia enrolled in Medicare?

Yes. Jay Malvin Tia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jay Malvin Tia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Malvin Tia reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (New York, NY) and Baltimore Medical Systems, Inc. (Baltimore, MD). Each 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 Jay Malvin Tia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jay Malvin Tia affiliated with any hospitals?

According to CMS data, Jay Malvin Tia is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Jay Malvin Tia was last updated on September 29, 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.