Active NPI
Timothy Maroney, MD
- Vascular & Interventional Radiology Physician
- Gladwyne, PA
National Provider Identifier
1629067749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MD425901
- Practice address
- 1200 Country Club Rd
Gladwyne, PA 19035-1418 - Phone
- (610) 519-0125
- Fax
- (610) 519-0126
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | MD425901 | PA | Primary |
Addresses
Primary practice location
1200 Country Club Rd
Gladwyne, PA 19035-1418
Mailing address
1200 Country Club Rd
Gladwyne, PA 19035-1418
Phone (610) 519-0125
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD425901 | PA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TPS IV of PA, LLC | Past | Accepting new patients | |
| MCV Associated Physicians | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1710959457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327881600000",
"number": "1629067749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 COUNTRY CLUB RD",
"city": "GLADWYNE",
"state": "PA",
"postal_code": "190351418",
"telephone_number": "610-519-0125",
"fax_number": "610-519-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 COUNTRY CLUB RD",
"city": "GLADWYNE",
"state": "PA",
"postal_code": "190351418",
"telephone_number": "610-519-0125",
"fax_number": "610-519-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARONEY",
"first_name": "TIMOTHY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2012-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "PA",
"license": "MD425901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gladwyne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.