Individual provider Active NPI

Timothy J Canty, MD

  • Pain Medicine (Anesthesiology) Physician
  • New York, NY
National Provider Identifier
1043201452
Registry record updated Apr 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
237504 Issued in NY
Practice address
149 Madison Ave RM 702
New York, NY 10016-6713
Phone
(917) 524-7246
Fax
(718) 509-6961
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 215688 MA
Pain Medicine (Anesthesiology) Physician 207LP2900X 215688 MA
Anesthesiology Physician 207L00000X 237504 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X 237504 NY Primary

Addresses

Primary practice location

149 Madison Ave RM 702
New York, NY 10016-6713

Mailing address

149 Madison Ave RM 702
New York, NY 10016-6713
Phone (917) 524-7246

Other identifiers 3

IdentifierTypeStateIssuer
J28261OtherMABCBS MA
2090031MedicaidMA
466528OtherMATUFTS HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000694 NY Practitioner - Pain ManagementPractitioner - Anesthesiology 1153372396 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Texas Medical School at San Antonio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Big Leap Medical Group PAGroup PAC ID 9830636935, 22 clinicians

Practice addresses (Care Compare)

149 Madison Ave
RM 702
New York, NY 10016-6764
Phone (917) 243-9335

295 Madison Ave
RM 407
New York, NY 10017-6438
Phone (332) 334-1511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
215688MAMDAnesthesiology Physician
237504NYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Big Leap Medical Group PA Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Goldstep Ambulatory Surgery Center, LLC Anesthesiology CurrentSince Nov 20, 2020 Accepting new patients
Tim Canty MD PLLC CurrentSince Jan 1, 2012 Accepting new patients
Spine & Pain Constulants Past Accepting new patients
Spine and Pain Consultant, PLLC Pain Medicine Past Accepting new patients
Spine and Pain Consultant, PLLC Pain Medicine Past Accepting new patients
Spine and Pain Consultant, PLLC Pain Medicine Past Accepting new patients
Spine and Pain Consultant, PLLC Pain Medicine Past Accepting new patients
Spine and Pain Consultant, PLLC Pain Medicine Past Accepting new patients
Spine and Pain Consultant, PLLC Pain Medicine Past Accepting new patients
The Spine and Pain Institute of New York Past Accepting new patients

Locations

3058 E Tremont Ave
Bronx, NY 10461
Phone (718) 409-0500

2488 Grand Concourse
Rm 310
Bronx, NY 10458
Phone (718) 425-4160

1736 Shore Pkwy
Brooklyn, NY 11214
Phone (718) 372-1031

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

1103 Stewart Ave
Garden City, NY 11530
Phone (516) 248-3737

3550 92nd St
Jackson Heights, NY 11372
Phone (917) 243-9335

14431 Jamaica Ave
Jamaica, NY 11435
Phone (718) 206-3369

2001 Marcus Ave
Ste W95
New Hyde Park, NY 11042
Phone (516) 327-3959

149 Madison Ave
Rm 702
New York, NY 10016
Phone (646) 256-3235

103 Norfolk St
New York, NY 10002

281 Broadway
Fl 2
New York, NY 10007
Phone (646) 596-7386

295 Madison Ave
Rm 407
New York, NY 10017
Phone (332) 334-1511

169 Madison Ave
Ste 2828
New York, NY 10016
Phone (332) 330-4076

300 Hempstead Tpke
West Hempstead, NY 11552
Phone (516) 481-3091

320 Post Ave
Ste 100
Westbury, NY 11590
Phone (516) 280-7180

4 Westchester Park Dr
Fl 4
White Plains, NY 10604
Phone (914) 948-3008

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/77721
  • FHIR API: https://api.platform.athenahealth.com/22900/brand/1/csg/21/fhir/r4
  • Direct secure messaging: timothy.canty.1@22900.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335571200000",
    "number": "1043201452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MADISON AVE RM 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166713",
            "telephone_number": "917-524-7246",
            "fax_number": "718-509-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MADISON AVE RM 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166713",
            "telephone_number": "917-524-7246",
            "fax_number": "718-509-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTY",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2012-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "215688",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "215688",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "237504",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "237504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J28261",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2090031",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "466528",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.