Individual provider Active NPI

Timothy A. Dowse, PA-C

  • Surgical Physician Assistant
  • Freehold, NJ
National Provider Identifier
1871933754
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00307600 Issued in NJ
Practice address
301 Professional View Dr
Building 300
Freehold, NJ 07728-7904
Phone
(518) 573-8465
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00307600 NJ Primary

Addresses

Primary practice location

301 Professional View Dr
Building 300
Freehold, NJ 07728-7904

Mailing address

301 Professional View Dr
Building 300
Freehold, NJ 07728-7904
Phone (518) 573-8465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20130924000925 NJ Practitioner - Physician Assistant 2961646393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedic and Sports Medicine Institute PCGroup PAC ID 3072561158, 35 clinicians

Practice addresses (Care Compare)

301 Professional View Dr
Freehold, NJ 07728-7904
Phone (732) 720-2555

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00307600NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedic and Sports Medicine Institute PC CurrentSince Sep 1, 2013 Accepting new patients

Locations

301 Professional View Dr
Freehold, NJ 07728
Phone (732) 616-6738

301 Professional View Dr
Bldg 300
Freehold, NJ 07728
Phone (518) 573-8465

Interoperability endpoints

  • Direct secure messaging: tdowse425085@direct.ahsys.org

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1871933754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PROFESSIONAL VIEW DR",
            "address_2": "BUILDING 300",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287904",
            "telephone_number": "518-573-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROFESSIONAL VIEW DR",
            "address_2": "BUILDING 300",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287904",
            "telephone_number": "518-573-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWSE",
        "first_name": "TIMOTHY",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00307600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.