Individual provider Active NPI

Timothy William Deyer, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1659532232
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
226291 Issued in NY
Practice address
519 E 72ND St Ste 103
New York, NY 10021-4028
Phone
(212) 288-1575
Fax
(212) 288-7716
NPI assigned
Jun 17, 2008
Last updated
Jan 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 226291 NY Primary

Addresses

Primary practice location

519 E 72ND St Ste 103
New York, NY 10021-4028

Mailing address

519 E 72ND St Ste 103
New York, NY 10021-4028
Phone (212) 288-1575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100329001020 NY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6507902111 Reassigns benefits to 5 organizations
I20260312001208 CT Practitioner - Diagnostic Radiology 6507902111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East River Medical Imaging PCGroup PAC ID 4486556719, 11 clinicians

Practice addresses (Care Compare)

420 Saybrook Rd
Middletown, CT 06457-4859
Phone (860) 685-8940

519 E 72ND St
Suite 103
New York, NY 10021-4028
Phone (212) 288-7615

600 Northern Blvd
Great Neck, NY 11021-5200
Phone (516) 627-8717

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.3 of 100Reported as group
Quality
30.59
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226291NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calvary Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
Southeastern Massachusetts Regional MRI, Limited Partnership CurrentSince Jul 15, 2026 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Feb 3, 2026 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Feb 3, 2026 Accepting new patients
Shields Healthcare of Cambridge, Inc. CurrentSince Jul 15, 2026 Accepting new patients
Fall River-New Bedford Regional MRI, Limited Partnership CurrentSince Jul 15, 2026 Accepting new patients
Shields MRI & Imaging Center of Cape Cod, LLC CurrentSince Jul 15, 2026 Accepting new patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Calvary Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Massachusetts Bay Regional MRI Limited Partnership CurrentSince Jul 15, 2026 Accepting new patients
Fpa Hospital Based CurrentSince Jul 1, 2019 Accepting new patients
Massachusetts Bay Regional MRI Limited Partnership CurrentSince Jul 15, 2026 Accepting new patients

Locations

420 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-4258

1740 Eastchester Rd
Bronx, NY 10461
Phone (718) 518-2000

600 Northern Blvd
Ste 300
Great Neck, NY 11021
Phone (516) 627-8717

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1659532232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E 72ND ST STE 103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214028",
            "telephone_number": "212-288-1575",
            "fax_number": "212-288-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E 72ND ST STE 103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214028",
            "telephone_number": "212-288-1575",
            "fax_number": "212-288-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYER",
        "first_name": "TIMOTHY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "226291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.