Active NPI
Timothy Timmons DO PC
- Family Medicine Physician
- Flushing, NY
National Provider Identifier
1699962787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 215148
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02529748 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.