Individual provider Active NPI

Timothy Wayne Eck, NP

  • Adult Health Nurse Practitioner
  • Batavia, NY
National Provider Identifier
1740887140
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310035 Issued in NY
Practice address
229 Summit St Ste 4
Batavia, NY 14020-1645
Phone
(585) 344-5470
Fax
(585) 344-7451
NPI assigned
Oct 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310035 NY Primary

Addresses

Primary practice location

229 Summit St Ste 4
Batavia, NY 14020-1645

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 344-5470

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201222003003 NY Practitioner - Nurse Practitioner 0143632844 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
310035NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
United Memorial Medical Center CurrentSince Nov 30, 2020 Accepting new patients
Oak Orchard Community Health Center Inc. CurrentSince Apr 5, 2021 Accepting new patients
Oak Orchard Community Health Center Inc CurrentSince Apr 5, 2021 Accepting new patients
United Memorial Medical Center Current Accepting new patients

Locations

301 West Ave
Albion, NY 14411
Phone (585) 589-5613

229 Summit St
Ste 4
Batavia, NY 14020
Phone (585) 344-5470

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

300 West Ave
Brockport, NY 14420
Phone (585) 637-3905

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1740887140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-344-5470",
            "fax_number": "585-344-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 SUMMIT ST STE 4",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201645",
            "telephone_number": "585-344-5470",
            "fax_number": "585-344-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECK",
        "first_name": "TIMOTHY",
        "middle_name": "WAYNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.