Timothy Brannan, MD, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

25MA06506400 Issued in NJ

Legal business name

TIMOTHY BRANNAN, MD, LLC

Practice address

377 Jersey Ave
Suite 220
Jersey City, NJ 07302-4393

Phone

(201) 309-2380

Fax

(201) 309-2381

NPI assigned

Mar 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Brannan, M.D.NPI 1619946431

Title

Owner

Phone

(201) 309-2380

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy S Brannan, MD

  • Neurology Physician
  • Jersey City, NJ
  • NPI 1619946431
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1992094965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076660808",
            "telephone_number": "201-309-2380",
            "fax_number": "201-309-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE",
            "address_2": "SUITE 220",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024393",
            "telephone_number": "201-309-2380",
            "fax_number": "201-309-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY BRANNAN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "BRANNAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-309-2380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA06506400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7262906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thrive Rehabilitation
• Jalpaben Chimanlal Thummar, PT
• Tima Therapist PC
• Sarala Timalsena
• Julie K Timins, M.D.
• Songyi-Rebecca Ting, APN
• Virginia Tinsley
• Christian Tiongson, PTA
• Titan Health Partners LLC
• Titan Health Partners LLC

• Neurology Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.