Time Square Medical PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A1882921 Issued in NY

Legal business name

TIME SQUARE MEDICAL PC

Practice address

723 7TH Ave RM 703
New York, NY 10019-6832

Phone

(212) 470-0360

NPI assigned

Nov 5, 2013

Last updated

Feb 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Wong, M.D

Title

President

Phone

(212) 470-0360

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1548699051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 7TH AVE RM 703",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 7TH AVE RM 703",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196832",
            "telephone_number": "212-470-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME SQUARE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-470-0360",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "A1882921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew T Timberger, MD
• Andrew Thomas Timberlake, MD PHD
• Rachael Timberlake, L.AC.
• Annette Timbo, LPN
• Time Medical PC
• Time Square Physical Therapy PC
• Time Square Podiatry PC
• Edelyne Marie Time
• Timeless Physical Therapy PC
• Times Square Dental, PLLC (Times Square Dental)

• General Practice Physician in New York, NY
• Providers in New York, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.