Individual provider Active NPI

Timothy Pierce, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1922631258
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347334 Issued in NY
Practice address
111 Broadway RM 504
New York, NY 10006-1982
Phone
(212) 571-3331
Fax
(360) 462-6691
NPI assigned
Feb 14, 2020
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704296154 MI
Family Nurse Practitioner 363LF0000X 347334 NY Primary

Addresses

Primary practice location

111 Broadway RM 504
New York, NY 10006-1982

Mailing address

321 W 29TH St Apt 3C
New York, NY 10001-4749
Phone (586) 698-8735

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
I20251203000577 NY Practitioner - Nurse Practitioner 6901235779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

321 W 29TH St
Apt 3C
New York, NY 10001-4749

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
347334NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas H Bailyn, MD, PC CurrentSince Sep 20, 2025 Accepting new patients
Access Physician PC CurrentSince Sep 20, 2025 Accepting new patients
Farmington Hills Urgent Care Walk-in Clinic PC PastSince Jul 31, 2022 Accepting new patients

Locations

33 8th Ave
Brooklyn, NY 11217
Phone (212) 537-5039

111 Broadway
Rm 504
New York, NY 10006
Phone (212) 537-5039

380 2nd Ave
Ste 1002
New York, NY 10010
Phone (212) 777-1510

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAGHAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1922631258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W 29TH ST APT 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014749",
            "telephone_number": "586-698-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BROADWAY RM 504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061982",
            "telephone_number": "212-571-3331",
            "fax_number": "360-462-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "TIMOTHY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-14",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704296154",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.