Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nikki Dyan Bloch

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255919700

Nikki Dyan Bloch is a Psychiatry in Bronx, New York. Qualified in 2021, 5 years ago. Registered with an NPI since 2021.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-7967
Fax: (718) 882-3185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1255919700
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021
Mailing address111 E 210th St, Bronx, NY 10467-2401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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