Timothy Roy, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

689742 Issued in NY

Practice address

47 Cobblestone Dr
Shoreham, NY 11786-2311

Phone

(631) 805-6383

Fax

(631) 849-5824

NPI assigned

Apr 20, 2016

Last updated

Apr 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Avigdor Medical Health LLC

  • Surgery Physician
  • Rumson, NJ
  • NPI 1841739331
  NPD (past)

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1003260506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 COBBLESTONE DR",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117862311",
            "telephone_number": "631-805-6383",
            "fax_number": "631-849-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 COBBLESTONE DR",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117862311",
            "telephone_number": "631-805-6383",
            "fax_number": "631-849-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "TIMOTHY",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "689742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Prisco
• Barbara I Reichert, RN
• Andrew J Ribaudo, RPA C
• Kristen Robertson, LPN
• Rocky Point Fire District
• George Richard Ruggiero, DO
• Eric Brett Salmonson, DDS
• Ronald Jay Salmonson, D.D.S.
• Lauren Ashley Santagata
• Jorge Santiago Jr.

• Registered Nurse in Shoreham, NY
• Providers in Shoreham, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.