Individual provider Active NPI

Timothy Bui, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1396126504
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
P97174 Issued in NY
Practice address
214 E 84TH St
Apt# 5D
New York, NY 10028-2931
Phone
(860) 543-0190
NPI assigned
Jun 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X P97174 NY Primary

Addresses

Primary practice location

214 E 84TH St
Apt# 5D
New York, NY 10028-2931

Mailing address

214 E 84TH St
Apt# 5D
New York, NY 10028-2931
Phone (860) 543-0190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200521000208 NY Practitioner - Podiatry 3870924145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anto Vincetic DPM PCGroup PAC ID 2365587326, 2 clinicians

Practice addresses (Care Compare)

6970 Grand Central Pkwy
Forest Hills, NY 11375-3949
Phone (718) 263-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P97174NYMDFoot & Ankle Surgery Podiatrist
006958NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anto Vincetic DPM PC Foot & Ankle Surgery CurrentSince Apr 18, 2020 Accepting new patients

Locations

3626 E Tremont Ave
Ste 102
Bronx, NY 10465
Phone (718) 409-0400

6970 Grand Central Pkwy
Forest Hills, NY 11375
Phone (347) 740-1255

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1396126504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E 84TH ST",
            "address_2": "APT# 5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282931",
            "telephone_number": "860-543-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E 84TH ST",
            "address_2": "APT# 5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282931",
            "telephone_number": "860-543-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "P97174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.