Active NPI
Michelle V Timko, O.D.
- Optometrist
- Somerville, NJ
National Provider Identifier
1548339690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00524800
- Practice address
- 50 Division St Ste 101
Somerville, NJ 08876-2943 - Phone
- (908) 635-3365
- Fax
- (908) 210-9500
- NPI assigned
- Nov 6, 2006
- Last updated
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 27OA00524800 | NJ | |
| Optometrist | 152W00000X | 27OA00524800 | NJ | Primary |
Addresses
Primary practice location
50 Division St Ste 101
Somerville, NJ 08876-2943
Mailing address
192 Fairfield LN
Hillsborough, NJ 08844-1707
Phone (908) 672-9417
Other practice location 1
400 Commons Way
Suite 354
Bridgewater, NJ 08807-2800
Phone (908) 725-0008
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00524800 | NJ | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1548339690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 FAIRFIELD LN",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088441707",
"telephone_number": "908-672-9417",
"fax_number": "908-725-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 DIVISION ST STE 101",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762943",
"telephone_number": "908-635-3365",
"fax_number": "908-210-9500"
}
],
"practiceLocations": [
{
"address_1": "400 Commons Way",
"address_2": "Suite 354",
"address_purpose": "LOCATION",
"city": "Bridgewater",
"state": "NJ",
"postal_code": "088072800",
"country_code": "US",
"telephone_number": "908-725-0008",
"fax_number": "908-725-0078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIMKO",
"first_name": "MICHELLE",
"middle_name": "V",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NJ",
"license": "27OA00524800",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00524800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.