Individual provider Active NPI

Sally A. Roden-Timko, PA-C

  • Physician Assistant
  • Naugatuck, CT
National Provider Identifier
1881339695
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5626 Issued in CT
Practice address
112 Bridge St Unit 3
Naugatuck, CT 06770-9207
Phone
(475) 285-0634
Fax
(475) 285-0635
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5626 CT Primary

Addresses

Primary practice location

112 Bridge St Unit 3
Naugatuck, CT 06770-9207

Mailing address

1290 Silas Deane Hwy
HHC Cvo
Wethersfield, CT 06109-4337
Phone (860) 972-5507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20220714001584 CT Practitioner - Physician Assistant 6305227877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians
Trinity Health of New England Urgent Care PLLCGroup PAC ID 9436561388, 10 clinicians

Practice addresses (Care Compare)

112 Bridge St
Naugatuck, CT 06770-9206
Phone (475) 285-0634

1312 W Main St
Waterbury, CT 06708-3121
Phone (203) 709-4030

58 Maple St
Naugatuck, CT 06770-4160
Phone (203) 723-5636

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Danbury Hospital CurrentSince Jun 30, 2022 Accepting new patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

550 Hartford Pike
Ste 3
Killingly, CT 06241
Phone (860) 932-2627

112 Bridge St
Naugatuck, CT 06770
Phone (475) 285-0634

112 Bridge St
Unit 3
Naugatuck, CT 06770
Phone (475) 285-0634

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: srodentimko3862848@direct.trinity-health.org

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.

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": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1881339695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "HHC CVO",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-5507",
            "fax_number": "860-972-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BRIDGE ST UNIT 3",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067709207",
            "telephone_number": "475-285-0634",
            "fax_number": "475-285-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEN-TIMKO",
        "first_name": "SALLY",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "5626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

Sources for this page

Verify at the official NPI Registry.