Organization Active NPI

Tim Canty MD PLLC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1073899571
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
237504 Issued in NY
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

Updated by the provider on Jan 3, 2012

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20120227000009 NY Part B Supplier - Clinic/Group Practice 9830357557 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY; West Hempstead, NY; Valley Stream, NY; Staten Island, NY; New Hyde Park, NY; Jamaica, NY; Farmingville, NY; Brooklyn, NY…

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.