Timothy Mailloux, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

140037 Issued in NY

Practice address

2380 Rockville Centre Pkwy
Oceanside, NY 11572-1621

Phone

(516) 764-9501

Fax

(516) 764-0865

NPI assigned

Dec 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215915145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 ROCKVILLE CENTRE PKWY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721621",
            "telephone_number": "516-764-9501",
            "fax_number": "516-764-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 ROCKVILLE CENTRE PKWY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721621",
            "telephone_number": "516-764-9501",
            "fax_number": "516-764-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILLOUX",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "140037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00485227",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn John Macdonald, M D
• Cathy Madden, RN
• Tiffany Rose Magno, CRNA
• Mark Joseph Maguire
• Lisa Mahabir, PHARMD
• Abhimannu Majumder, DO
• Simona Maksimyan, DO
• Gloria Malamud, M.A., C.C.C.
• Remi Malamud, LMSW
• Amna Malik

• Internal Medicine Physician in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.