Organization Active NPI

Timothy Timmons DO PC

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1699962787
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
215148 Issued in NY
Legal business name
TIMOTHY TIMMONS DO PC
Practice address
13663 41St Ave
3/Floor
Flushing, NY 11355-2433
Phone
(917) 412-1925
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Dr. Timothy Francis Timmons, D.O.
Title
Owner
Phone
(917) 412-1925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 215148 NY Primary

Addresses

Primary practice location

13663 41St Ave
3/Floor
Flushing, NY 11355-2433

Mailing address

136-63 41St Avenue
3/Floor
Flushing, NY 11355
Phone (917) 412-1925

Other identifiers 1

IdentifierTypeStateIssuer
02529748MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1699962787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136-63 41ST AVENUE",
            "address_2": "3/FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "917-412-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13663 41ST AVE",
            "address_2": "3/FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552433",
            "telephone_number": "917-412-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY TIMMONS DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-412-1925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "215148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02529748",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.