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: July 19, 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
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

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

Medicare Participation & PECOS CMS

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

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.

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.

Physical Medicine & Rehabilitation
1901 1ST AVE, RM 327, REHABILITATION MEDICINE DEPT
NEW YORK, NY 10029
Internal Medicine
1901 1ST AVE, DEPARTMENT OF MEDICINE
NEW YORK, NY 10029
Medical Genetics (Clinical Genetics (M.D.))
1901 1ST AVE, METROPOLITAN HOSPITAL ROOM 523
NEW YORK, NY 10029
Surgery
1901 1ST AVE, DEPARTMENT OF SURGERY
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1901 1ST AVE, SUITE 5 SOUTH 2
NEW YORK, NY 10029
Ophthalmology
1901 1ST AVE, SUITE 5 SOUTH 2 METROPOLITAN HOSPITAL
NEW YORK, NY 10029
Optometrist
1901 1ST AVE
NEW YORK, NY 10029
Ophthalmology
1901 1ST AVE
NEW YORK, NY 10029

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942817317, enumerated as an "individual" on September 29, 2020.

The provider is located at 1901 1ST AVE NEW YORK, NY 10029 and the phone number is (212) 423-6262.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Jay Malvin Tia is affiliated with: MONTEFIORE MEDICAL CENTER.