Tara Lynn Timmerman, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

214284 Issued in NY

Practice address

184 E 70TH St
Suite B2
New York, NY 10021-5154

Phone

(212) 737-4174

Fax

(212) 737-3392

NPI assigned

Jan 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

NephrologyAlso: Internal Medicine

Education

Icahn School of Medicine at Mount Sinai, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lenox Hill Hospital Hospital, New York, NY, CCN 330119

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: ttimmerman66895@northwell.direct-ci.com

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

• Lenox Hill Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1477616571
  Care Compare affiliation

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1720058456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E 82ND ST",
            "address_2": "APT. #5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287118",
            "telephone_number": "212-737-4174",
            "fax_number": "212-737-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 E 70TH ST",
            "address_2": "SUITE B2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215154",
            "telephone_number": "212-737-4174",
            "fax_number": "212-737-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMERMAN",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "214284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02193066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick Robert Timm, LCSW
• Kathleen Timm, NP
• Jean Fitzpatrick Timmerberg, PT
• Jillian Timmerman, CCC-SLP
• Romarique Timmerman, LCSW
• Timmermann Apothecaries,Inc
• Anna Timmins-Degregory, M.ED., BCBA, LBA
• Raven Timmins, LSW
• Dianne Elizabeth Timmons, LCSW
• Alexa Timo, PT, DPT

• Nephrology Physician in New York, NY
• Providers in New York, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.