Active NPI
Tim Canty MD PLLC
- Specialist
- Brooklyn, NY
National Provider Identifier
1073899571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 237504
- Legal business name
- TIM CANTY MD PLLC
- Practice address
- 101 Broadway
B02
Brooklyn, NY 11249-8663 - Phone
- (917) 524-7246
- NPI assigned
- Oct 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tim Canty, M.D.
- Title
- Owner
- Phone
- (917) 524-7246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 237504 | NY | Primary |
Addresses
Primary practice location
101 Broadway
B02
Brooklyn, NY 11249-8663
Mailing address
11 Bleecker St
3
New York, NY 10012-2402
Phone (617) 642-0141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
997 Morris Park Ave
Bronx, NY 10462
Phone (718) 618-7255
4191 E Tremont Ave
Bronx, NY 10465
Phone (718) 409-4086
3550 92nd St
Jackson Heights, NY 11372
Phone (917) 243-9335
11 Bleecker St
#3
New York, NY 10012
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/77721
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1043201452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325548800000",
"number": "1073899571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BLEECKER ST",
"address_2": "3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122402",
"telephone_number": "617-642-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BROADWAY",
"address_2": "B02",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112498663",
"telephone_number": "917-524-7246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIM CANTY MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-27",
"last_updated": "2012-01-03",
"status": "A",
"authorized_official_last_name": "CANTY",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-524-7246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "237504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.