NPIMap

Organization Active NPI

Timothy J. Greenan, M.D. P.C.

  • Diagnostic Radiology Physician
  • Middletown, NY
National Provider Identifier
1346282803
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TIMOTHY J. GREENAN, M.D. P.C.
Practice address
779 Route 211 E
Middletown, NY 10941-1459
Phone
(845) 692-9730
Fax
(845) 692-9746
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. Timothy J Greenan, M.D.NPI 1073562088
Title
Medical Director
Phone
(845) 692-9730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

779 Route 211 E
Middletown, NY 10941-1459

Mailing address

779 Route 211 E
Middletown, NY 10941-1459
Phone (845) 692-9730

Other identifiers 5

IdentifierTypeStateIssuer
CH9051OtherNYMEDICARE RAILROAD
CJ2263OtherNYMEDICARE RAILROAD
001873220MedicaidPA
02760456MedicaidNY
CJ2260OtherNYMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

1550 Riverfront Ctr
Amsterdam, NY 12010
Phone (518) 843-8800

722 S Meadow St
Ste 5
Ithaca, NY 14850
Phone (607) 256-9776

444 S Fulton Ave
Mount Vernon, NY 10553
Phone (914) 407-3686

155 White Plains Rd
Ste 1
Tarrytown, NY 10591
Phone (914) 524-0400

1786 E 3rd St
Ste 1
Williamsport, PA 17701
Phone (570) 322-8060

Practitioners & affiliated clinicians

Practitioners 5

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1346282803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 ROUTE 211 E",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411459",
            "telephone_number": "845-692-9730",
            "fax_number": "845-692-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 ROUTE 211 E",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411459",
            "telephone_number": "845-692-9730",
            "fax_number": "845-692-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J. GREENAN, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "GREENAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "845-692-9730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CH9051",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CJ2263",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001873220",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02760456",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CJ2260",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.