Active NPI
Timothy Mainardi, MD
- Allergy & Immunology (Internal Medicine) Physician
- New York, NY
National Provider Identifier
1326201757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- 257650
- Practice address
- 49 Murray St
New York, NY 10007-2250 - Phone
- (201) 693-6988
- Fax
- (212) 729-1783
- NPI assigned
- Jul 7, 2008
- Last updated
- Jul 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 257650 | NY | Primary |
Addresses
Primary practice location
49 Murray St
New York, NY 10007-2250
Mailing address
49 Murray St
New York, NY 10007-2250
Phone (212) 729-1283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257650 | NY | MD | Allergy & Immunology (Internal Medicine) Physician |
Interoperability endpoints
- kmpmedical.timothymainardi@133015.advancedmd-direct.com
- tim9025@direct.nyp.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1326201757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 MURRAY ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100072250",
"telephone_number": "212-729-1283",
"fax_number": "866-419-6235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 MURRAY ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100072250",
"telephone_number": "201-693-6988",
"fax_number": "212-729-1783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINARDI",
"first_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-07",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "NY",
"license": "257650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.