Individual provider Active NPI

Taylor Nicole Prezioso

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1255049631
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
342543 Issued in NY
Practice address
362 E 148TH St
Bronx, NY 10455-4005
Phone
(718) 206-2000
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 342543 NY Primary

Addresses

Primary practice location

362 E 148TH St
Bronx, NY 10455-4005

Mailing address

12 Eldorado Dr
East Northport, NY 11731-5618
Phone (631) 759-1897

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Taylor.Prezioso@samaritanvillage.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
342543NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Daytop Health CurrentSince Jun 11, 2023 Accepting new patients
Samaritan Daytop Village, Inc. PastSince Nov 20, 2022 Accepting new patients

Locations

362 E 148th St
Bronx, NY 10455
Phone (347) 840-0855

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: taylor.prezioso@samaritanvillage.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1255049631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELDORADO DR",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117315618",
            "telephone_number": "631-759-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 E 148TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554005",
            "telephone_number": "718-206-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREZIOSO",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "342543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Taylor.Prezioso@samaritanvillage.org",
            "affiliation": "N",
            "address_1": "362 E 148th St",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104554005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.