David M Tinkelman MD PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DAVID M TINKELMAN MD PC

Practice address

6 Sweden LN
Brockport, NY 14420-2516

Phone

(585) 637-0060

Fax

(585) 637-2941

NPI assigned

Mar 1, 2006

Last updated

Nov 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Martin Tinkelman, M.D.NPI 1356671812

Title

President

Phone

(585) 637-0060

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Martin Tinkelman, MD

  • Pediatrics Physician
  • Brockport, NY
  • NPI 1356671812
  NPD Authorized official

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1013984814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SWEDEN LN",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202516",
            "telephone_number": "585-637-0060",
            "fax_number": "585-637-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SWEDEN LN",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202516",
            "telephone_number": "585-637-0060",
            "fax_number": "585-637-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M TINKELMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "TINKELMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-637-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILD HEALTH PLUS",
            "identifier": "P010133341",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P020133341",
            "identifier": "EXCELLLUS",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00507488",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "201002460",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MD134N",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010133341",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ROCHESTER",
            "identifier": "P020133341",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF WNY",
            "identifier": "000529464002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2600363",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annika T D'Andrea
• Christopher M. Dailey, PHARM.D.
• Michelle L Damico
• Raymond Danielak II, LPN
• Erika Lynn Darrow, LMHC
• Martha Ann David, M.D.
• Traci Davis-Taylor, LCSW
• Jeanmary R Day, RN
• Carrie Lynn Degeorge, PHARMD
• Gwen W Delany, NP

• Pediatrics Physician in Brockport, NY
• Providers in Brockport, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.