Active NPI
Donna M Timchak, MD
- Pediatric Cardiology Physician
- Morristown, NJ
National Provider Identifier
1689641623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 25MA05469800
- Practice address
- 100 Madison Ave
Morristown, NJ 07960-6136 - Phone
- (973) 971-5996
- Fax
- (973) 290-7979
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 25MA05469800 | NJ | Primary |
| Pediatric Cardiology Physician | 2080P0202X | 167609 | NY |
Addresses
Primary practice location
100 Madison Ave
Morristown, NJ 07960-6136
Mailing address
PO Box 416457
Boston, MA 02241-6457
Phone (973) 971-7163
Other practice location 1
11 Overlook Rd Ste 230
Summit, NJ 07901-3580
Phone (973) 971-5996
Other practice location 2
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (973) 971-5996
Other practice location 3
55 Madison Ave Fl 2
Morristown, NJ 07960-7337
Phone (973) 971-5996
Other practice location 4
55 Madison Ave Fl 1
Morristown, NJ 07960-7337
Phone (973) 971-7520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01546652 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05469800 | NJ | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Hospital Corp. | Past | Accepting new patients | |
| Specialty Care of Practice Associates,PA | Past | Accepting new patients | |
| Practice Associates,Inc | Past | Accepting new patients | |
| Maternal Fetal Medicine of Practice Associates, PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- dtimchak3437@direct.ahsys.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- Maternal & Fetal Medicine Physician
- Morristown, NJ
- NPI 1578613840
-
- Physician Assistant
- Morristown, NJ
- NPI 1699733907
-
- Specialist
- Morristown, NJ
- NPI 1215985908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1689641623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416457",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416457",
"telephone_number": "973-971-7163",
"fax_number": "973-898-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MADISON AVE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606136",
"telephone_number": "973-971-5996",
"fax_number": "973-290-7979"
}
],
"practiceLocations": [
{
"address_1": "11 Overlook Rd Ste 230",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "NJ",
"postal_code": "079013580",
"country_code": "US",
"telephone_number": "973-971-5996",
"fax_number": "973-290-7979",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "99 Beauvoir Ave",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "NJ",
"postal_code": "079013533",
"country_code": "US",
"telephone_number": "973-971-5996",
"fax_number": "973-290-7979",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Madison Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "NJ",
"postal_code": "079607337",
"country_code": "US",
"telephone_number": "973-971-5996",
"fax_number": "973-290-7979",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Madison Ave Fl 1",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "NJ",
"postal_code": "079607337",
"country_code": "US",
"telephone_number": "973-971-7520",
"fax_number": "973-267-4165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIMCHAK",
"first_name": "DONNA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NJ",
"license": "25MA05469800",
"primary": true
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NY",
"license": "167609",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01546652",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.