Talia Hillary Peck, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

022841 Issued in NY

Practice address

408 Airport Executive Park
Nanuet, NY 10954-5288

Phone

(845) 634-7500

Fax

(845) 634-7566

NPI assigned

Sep 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nyack Hospital Hospital, Nyack, NY, CCN 330104
• St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208
• Helen Hayes Hospital Hospital, West Haverstraw, NY, CCN 330405
• Burke Rehabilitation Hospital Inpatient rehabilitation facility, White Plains, NY, CCN 333030

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

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.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152

  NJ

  Medicare reassignment Care Compare group NPD
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Montefiore Nyack Hospital

  • General Acute Care Hospital
  • Nyack, NY
  • NPI 1104808062
  Care Compare affiliation
• St. John'S Riverside Hospital

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1578526695
  Care Compare affiliation
• State of New York Comptrollers Office

  • General Acute Care Hospital
  • West Haverstraw, NY
  • NPI 1063525442
  Care Compare affiliation
• Winifred Masterson Burke Rehabilitation Hospital

  • Rehabilitation Hospital
  • White Plains, NY
  • NPI 1841295219

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1710469739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 AIRPORT EXECUTIVE PARK",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545238",
            "telephone_number": "845-262-5313",
            "fax_number": "845-262-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 AIRPORT EXECUTIVE PARK",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545288",
            "telephone_number": "845-634-7500",
            "fax_number": "845-634-7566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Route 59",
            "address_purpose": "LOCATION",
            "city": "Airmont",
            "state": "NY",
            "postal_code": "109523420",
            "country_code": "US",
            "telephone_number": "845-356-2900",
            "fax_number": "845-356-7797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 CROSSFIELD AVE",
            "address_2": "SUITE 422",
            "address_purpose": "LOCATION",
            "city": "CLARKSTOWN",
            "state": "NY",
            "postal_code": "109621096",
            "country_code": "US",
            "telephone_number": "845-358-1000",
            "fax_number": "845-358-2155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Ashford Ave",
            "address_purpose": "LOCATION",
            "city": "Dobbs Ferry",
            "state": "NY",
            "postal_code": "105221924",
            "country_code": "US",
            "telephone_number": "914-693-2057",
            "fax_number": "914-693-1630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "785 State Route 17M",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NY",
            "postal_code": "109502623",
            "country_code": "US",
            "telephone_number": "845-356-2900",
            "fax_number": "845-782-6752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Liberty Square Mall",
            "address_purpose": "LOCATION",
            "city": "Stony Point",
            "state": "NY",
            "postal_code": "109802400",
            "country_code": "US",
            "telephone_number": "845-356-2900",
            "fax_number": "845-786-1950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Dutch Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "NY",
            "postal_code": "109622185",
            "country_code": "US",
            "telephone_number": "845-359-1877",
            "fax_number": "845-359-2449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "NY",
            "postal_code": "109703516",
            "country_code": "US",
            "telephone_number": "845-354-2004",
            "fax_number": "845-354-2055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575 Hudson Valley Ave",
            "address_purpose": "LOCATION",
            "city": "New Windsor",
            "state": "NY",
            "postal_code": "125534747",
            "country_code": "US",
            "telephone_number": "845-356-2900",
            "fax_number": "845-786-1950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "TALIA",
        "middle_name": "HILLARY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "022841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivani Patel, AGPCNP-BC
• Pathmark Stores Inc
• Barbara Geralyn Patterson, RN
• PD Eyes Inc
• Etta E Peart, RN
• Pediatric Dentistry of Nanuet PLLC
• Pediatric Neurology of Hudson Valley, PLLC
• Pediatric Physical and Occupational Therapy of Hudson Valley, PLLC
• Pediatric Physical and Occupational Therapy of Hudson Valley, PLLC
• Ana Patricia Pena

• Medical Physician Assistant in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.