Active NPI
Timothy Drew Boyle
- Physician Assistant
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA063900
- Practice address
- 4400 Haverford Ave
Philadelphia, PA 19104-1361 - Phone
- (215) 685-7601
- Fax
- (215) 685-7363
- NPI assigned
- Jun 23, 2022
- Last updated
- Apr 1, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA063900 | PA | Primary |
Addresses
Primary practice location
4400 Haverford Ave
Philadelphia, PA 19104-1361
Mailing address
4400 Haverford Ave
Philadelphia, PA 19104-1361
Phone (215) 685-7601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Old York Rd
Abington, PA 19001-3720
1200 Old York Rd 1 Widener
Neurosurgical Associates of Abington
Abington, PA 19001-3720
Phone (215) 657-5886
2510 Maryland Rd
Suite 185
Willow Grove, PA 19090-1134
Phone (215) 657-5886
2510 Maryland Rd
Suite 200
Willow Grove, PA 19090-1185
4400 Haverford Ave
Philadelphia, PA 19104-1361
Phone (215) 685-7630
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA063900 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abington Memorial Hospital | Current | Accepting new patients | |
| Abington Memorial Hospital | Current | Accepting new patients |
Locations
1200 Old York Rd
#1
Abington, PA 19001
Phone (215) 481-2400
2510 Maryland Rd
Ste 185
Willow Grove, PA 19090
Phone (215) 657-5886
Organizations & group practices 3
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.
-
dba Neurosurgical Associates of Abington
- Neurological Surgery Physician
- Abington, PA
- NPI 1386685386
-
dba Health Care Center 2
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1942317094
-
- Maternal & Fetal Medicine Physician
- Abington, PA
- NPI 1649033069
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
-
dba Lansdale Hospital
- General Acute Care Hospital
- Lansdale, PA
- NPI 1386896306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1891426300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 HAVERFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191041361",
"telephone_number": "215-685-7601",
"fax_number": "215-685-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 HAVERFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191041361",
"telephone_number": "215-685-7601",
"fax_number": "215-685-7363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "TIMOTHY",
"middle_name": "DREW",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-23",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA063900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.