Timothy J Henderson, MD

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

25MA09165800 Issued in NJ

Practice address

1055 Hamburg Tpke Ste 2
Wayne, NJ 07470

Phone

(973) 616-0200

Fax

(973) 616-1792

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

George Washington University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TBHC Physician Services PCGroup PAC ID 9133265317, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brooklyn Hospital Center - Downtown Campus Hospital, Brooklyn, NY, CCN 330056
• Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8a279096-6ad2-4c68-ac31-bf88e291604e/

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.

• Board Certified Orthopedic Surgical Specilists LLC

  • Orthopaedic Surgery Physician
  • Fort Lee, NJ
  • NPI 1154152338
  Medicare reassignment NPD Authorized official
• TBHC Physician Services PC

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1417183963

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Advanced Wellness

  • Chiropractor
  • Marlboro, NJ
  • NPI 1326053273
  Medicare reassignment NPD
• One Oak Medical Group, LLC

  • Orthopaedic Surgery Physician
  • Wayne, NJ
  • NPI 1669997359
  Medicare reassignment NPD
• Practice Associates Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385

  Orthopaedic Surgery

  Medicare reassignment NPD
• Sovereign Medical Group LLC

  • Urology Physician
  • Oradell, NJ
  • NPI 1710282082
  Medicare reassignment
• One Oak Medical Group, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Iselin, NJ
  • NPI 1003429036
  NPD
• Lourdes Medical Associates PA

  • Family Medicine Physician
  • Haddon Heights, NJ
  • NPI 1568441541

  Orthopaedic Surgery

  NPD (past)
• Avalon Medical Center, LLC

  • Clinic/Center
  • New Windsor, NY
  • NPI 1003591447

  Orthopaedic Surgery

  NPD (past)
• Metropolitan Orthopaedic and Sports Specialists, PC

  • Orthopaedic Surgery Physician
  • Conyers, GA
  • NPI 1427087659
  NPD (past)
• Piedmont Providers LLC

  • Internal Medicine Physician
  • Jasper, GA
  • NPI 1548273592
  NPD (past)
• Regents of the University of California

  • Durable Medical Equipment & Medical Supplies
  • West Hills, CA
  • NPI 1144112699

  Orthopaedic Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Njmhmc, LLC

  • General Acute Care Hospital
  • Secaucus, NJ
  • NPI 1710491253
  Care Compare affiliation
• The Brooklyn Hospital Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1326046467
  Care Compare affiliation

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1326005307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 HAMBURG TPKE STE 2",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-616-0200",
            "fax_number": "973-616-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A92330",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "52523",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "271409-1",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA09165800",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA09165800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heavenly Companions, LLC
• Lindsay Heimburg
• Linda Heiser, MS RD
• Hematology-Oncology Professional of Wayne
• Alea Hemming
• Ashley Elizabeth Hendricks, L.AC
• Bunly Heng
• Bernard Henson, MD
• Philip Herbert, LCSW
• Michael Paul Hermann, PHARMD

• Adult Reconstructive Orthopaedic Surgery Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.