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

Taylor E Nickerson, MD

Individual provider Pediatric Critical Care Medicine Physician · NPI 1194104018

Taylor E Nickerson, MD is a Critical Care (Intensivists) in New Hyde Park, New York. Graduated from Florida Atlantic University, College of Medicine in 2015, 11 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Trained at
Florida Atlantic University, College of Medicine
Licensed in
NY
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

269-01 76th Ave
New Hyde Park, NY 11040-1104
Phone: (718) 470-3668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence 310805 (NY)

Record details

NPI number1194104018
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2015
Last updated in NPPESJuly 23, 2021
Certification dateJuly 23, 2021

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesPEDIATRIC MEDICINE
Medical schoolFLORIDA ATLANTIC UNIVERSITY, COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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