Timothy Gardner, LPN

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

324886 Issued in NY

Practice address

1485 E 34TH St
Brooklyn, NY 11234-2601

Phone

(347) 913-9447

NPI assigned

Mar 28, 2016

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

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1043672165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 E 34TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342601",
            "telephone_number": "347-913-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 E 34TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342601",
            "telephone_number": "347-913-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "TIMOTHY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "324886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Gardner, R.PH.
• Jonathan Gardner
• Paul Gardner, LCSW
• Sean Upton Gardner
• Sherona Gardner, LMSW
• Valrie Elaine Gardner, LPN
• Gardner'S Pharmacy, Inc
• Peter Sandor Gardos, PH.D.
• Samson Garedew
• Rochel Garelik, MS, ED

• Pediatric Skilled Nursing Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.