Timothy Jon Lederer

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R179150 Issued in MD

Practice address

9512 Harford Rd Ste 4
Parkville, MD 21234-3127

Phone

(410) 665-4400

NPI assigned

Jul 13, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCAGCA/Endpoint/DCAGCA

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

• Matthew P Mardiney MD PC

  • Allergy & Immunology Physician
  • Bel Air, MD
  • NPI 1174881098
  Medicare reassignment NPD
• Ritu Bhambhani LLC

  • Specialist
  • Abingdon, MD
  • NPI 1316133457
  Medicare reassignment NPD
• TCMG PA

  • Internal Medicine Physician
  • Parkville, MD
  • NPI 1912030073
  Medicare reassignment NPD

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1033695960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALTER WARD BLVD STE 300",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091286",
            "telephone_number": "410-777-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9512 HARFORD RD STE 4",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343127",
            "telephone_number": "410-665-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Newport Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Forest Hill",
            "state": "MD",
            "postal_code": "210501693",
            "country_code": "US",
            "telephone_number": "410-838-8463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDERER",
        "first_name": "TIMOTHY",
        "middle_name": "JON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R179150",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R179150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Lanier III, PHARM.D.
• Gina Marie Lastner
• Cilicia Lawson, LGPC
• Amy Leak
• Ebunoluwa Leavell
• DO Yeon Lee, RD, LDN, CNSC
• Jonathan Bud Leligdowicz, PHARMD
• Zachary Leppert, RPH
• Letitia J. Wright, MD, Inc.
• Life Centers of America LLC

• Family Nurse Practitioner in Parkville, MD
• Providers in Parkville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.