Individual provider Active NPI

Timothy Joseph Schreck, P.A.-C

  • Physician Assistant
  • Parsippany, NJ
National Provider Identifier
1386995637
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00294200 Issued in NJ
Practice address
3 Century Dr
Parsippany, NJ 07054-4610
Phone
(973) 251-1018
NPI assigned
Sep 26, 2012
Last updated
Sep 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00294200 NJ Primary

Addresses

Primary practice location

3 Century Dr
Parsippany, NJ 07054-4610

Mailing address

3 Century Dr
Parsippany, NJ 07054-4610
Phone (973) 251-1018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121017000293 NJ Practitioner - Physician Assistant 0648420273 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Advanced Urgent CareGroup PAC ID 4385986330, 44 clinicians
Newton Emergency Medical Associates LLCGroup PAC ID 3678735057, 31 clinicians
Hackettstown Emergency Medical Associates, LLCGroup PAC ID 4688998990, 22 clinicians

Practice addresses (Care Compare)

140 Central Ave
Clark, NJ 07066-1121
Phone (732) 499-0606

175 High St
Newton, NJ 07860-1004
Phone (954) 939-5000

333 US Hwy 46
Suite 106
Mountain Lakes, NJ 07046-1741
Phone (973) 939-6220

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00294200NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
William R. Collini, M.D., P.a. Past Accepting new patients

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1386995637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CENTURY DR",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544610",
            "telephone_number": "973-251-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CENTURY DR",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544610",
            "telephone_number": "973-251-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRECK",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00294200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.