Timothy Okeefe MD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TIMOTHY OKEEFE MD PC

Practice address

5501 Bartel Rd
Brewerton, NY 13029-8701

Phone

(315) 603-3795

NPI assigned

Mar 12, 2024

Last updated

Mar 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Jay Restrepo, DDSNPI 1679992283

Title

Ceo

Phone

(315) 603-3795

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Restrepo I, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Brewerton, NY
  • NPI 1679992283
  NPD Authorized official

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1730947813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 BARTEL RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130298701",
            "telephone_number": "315-603-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 BARTEL RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130298701",
            "telephone_number": "315-603-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY OKEEFE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "RESTREPO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-603-3795",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Erika Roszyk, C.M.T
• Stephanie Sessa, RPH
• Cicero Stroman Sr.
• Mary Anne Jessica Taylor-Lamb, DC
• Amanda M Thrall, MS,OTR/L
• Tom McCue IV DDS PC (Mccue Dental)
• Vince Markowsky, LCSW, PC
• Janet Lynn Wells
• Claire Elise Wood, MS, RDN
• Rosmany G Zerquera, NP

• Dental Clinic/Center in Brewerton, NY
• Providers in Brewerton, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.