Active NPI
Gregory S. Timm, M.D.
- Diagnostic Radiology Physician
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 231404
- Practice address
- 300 Community Dr
Manhasset, NY 11030-3876 - Phone
- (165) 624-8005
- NPI assigned
- May 2, 2006
- Last updated
- Mar 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 000000 | CO | |
| Diagnostic Radiology Physician | 2085R0202X | 231404 | NY | Primary |
Addresses
Primary practice location
300 Community Dr
Manhasset, NY 11030-3876
Mailing address
300 Community Dr
Manhasset, NY 11030-3876
Phone (516) 562-4800
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 Great Neck Rd
Great Neck, NY 11021-3357
Phone (516) 487-4464
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3058
9525 Queens Blvd
Rego Park, NY 11374-4510
Phone (718) 360-5522
Hospital & facility affiliations
- North Shore University Hospital
- Lenox Hill Hospital
- John T Mather Memorial Hospital of Port Jefferson
- Long Island Jewish Medical Center
- Northern Westchester Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000 | CO | MD | Diagnostic Radiology Physician |
| 107296 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Faculty Medical Affiliates University Faculty Practice Corp | Current | Accepting new patients | |
| Renaissance Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Medical Services of Kips Bay PC | Current | Accepting new patients | |
| Medical Services of Kips Bay PC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Radiology Consulting of Long Island PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology & Imaging Consultants PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
327 Beach 19th St
#H
Far Rockaway, NY 11691
Phone (718) 869-7000
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
170 Great Neck Rd
Great Neck, NY 11021
Phone (516) 487-4464
825 Northern Blvd
Ste 201
Great Neck, NY 11021
Phone (516) 396-7846
300 Community Dr
Manhasset, NY 11030
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522
1220 Hicksville Rd
Seaford, NY 11783
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- gtimm68754@northwell.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Great Neck, NY
- NPI 1669075651
-
- Body Imaging Physician
- Seaford, NY
- NPI 1033791058
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Diagnostic Radiology Physician
- Northridge, CA
- NPI 1487608931
NY
-
- Orthopaedic Surgery Physician
- Garden City, NY
- NPI 1629671185
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Diagnostic Radiology Physician
- West Islip, NY
- NPI 1568402410
-
- Diagnostic Radiology Physician
- Colorado Springs, CO
- NPI 1598700825
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1093718728
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
dba Northern Westchester Hospital Transitional Care Unit
- Medicare Defined Swing Bed Hospital Unit
- Mount Kisco, NY
- NPI 1396178356
-
dba Northern Westchester Hospital
- General Acute Care Hospital
- Mount Kisco, NY
- NPI 1912992215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1861450611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 COMMUNITY DR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303876",
"telephone_number": "516-562-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COMMUNITY DR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303876",
"telephone_number": "165-624-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMM",
"first_name": "GREGORY",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "000000",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "231404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.