Time Square Podiatry PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

TIME SQUARE PODIATRY PC

Practice address

233 Broadway RM 1775
New York, NY 10279-1810

Phone

(212) 921-7900

NPI assigned

Jul 30, 2024

Organization subpart

No

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

Authorized official

Name

Sooji Kim

Title

DPM

Phone

(212) 921-7900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1669201539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 BROADWAY RM 1775",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102791810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 BROADWAY RM 1775",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102791810",
            "telephone_number": "212-921-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME SQUARE PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOOJI",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "212-921-7900"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Timberlake, L.AC.
• Annette Timbo, LPN
• Time Medical PC
• Time Square Medical PC
• Time Square Physical Therapy PC
• Edelyne Marie Time
• Timeless Physical Therapy PC
• Times Square Dental, PLLC
• Nicole Elaye Timi, WHNP-BC
• Veronica Timiras, LAC

• Foot & Ankle Surgery Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.