Active NPI
Timothy B Mooney, M.D.
- Emergency Medicine Physician
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 254255
- Practice address
- 300 Community Dr
Department of Emergency Medicine
Manhasset, NY 11030-3816 - Phone
- (516) 562-2925
- NPI assigned
- Jun 26, 2008
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 254255 | NY | Primary |
Addresses
Primary practice location
300 Community Dr
Department of Emergency Medicine
Manhasset, NY 11030-3816
Mailing address
304 Community Dr
1D
Manhasset, NY 11030-3834
Phone (631) 804-7862
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3261
Hospital & facility affiliations
- Samaritan Hospital of Troy, New York
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254255 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
| Ellis Hospital | Emergency Medicine | Current | Accepting new patients |
| Albany Medical College | Emergency Medicine | Current | Accepting new patients |
| Albany Medical College | Emergency Medicine | Current | Accepting new patients |
| Albany Medical College | Emergency Medicine | Current | Accepting new patients |
| Ellis Hospital | Emergency Medicine | Current | Accepting new patients |
| Albany Medical College | Emergency Medicine | Current | Accepting new patients |
Locations
600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
103 Sitterly Rd
Halfmoon, NY 12065
Phone (518) 579-2700
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1639160385
-
- Emergency Medicine Physician
- Schenectady, NY
- NPI 1558547034
-
- Emergency Medicine Physician
- Albany, NY
- NPI 1174553093
-
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1447412804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 COMMUNITY DR",
"address_2": "1D",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303834",
"telephone_number": "631-804-7862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COMMUNITY DR",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303816",
"telephone_number": "516-562-2925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONEY",
"first_name": "TIMOTHY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-26",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "254255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.