Mr Prospero A Tayco, PT is a
Skilled Nursing Facility based in Raritan, New Jersey. Mr Prospero A Tayco is licensed to practice in New Jersey (license number 40QA00587900) and his current practice location is
113 Woodmere St, Raritan, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(908) 707-9079.
NPI number for Mr Prospero A Tayco is 1063734705 and his current mailing address is 113 Woodmere St, Raritan, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063734705.
Healthcare Provider's Profile
Full Name | Mr Prospero A Tayco |
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Gender | Male |
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Speciality | Skilled Nursing Facility |
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Location | 113 Woodmere St, Raritan, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063734705
- Provider Enumeration Date: 02/22/2010
- Last Update Date: 02/22/2010
Medical Identifiers
Medical identifiers for Mr Prospero A Tayco such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063734705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 40QA00587900 (New Jersey) | Secondary |
314000000X | Skilled Nursing Facility | 40QA00587900 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Prospero A Tayco is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Prospero A Tayco, PT 113 Woodmere St, Raritan, NJ 08869-1636 Ph: (908) 707-9079 | Mr Prospero A Tayco, PT 113 Woodmere St, Raritan, NJ 08869-1636 Ph: (908) 707-9079 |
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