Individual provider Active NPI

Timothy Allen

  • Physician Assistant
  • Seneca Falls, NY
National Provider Identifier
1992360978
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
024254 Issued in NY
Practice address
1991 Balsley Rd
Seneca Falls, NY 13148-6725
Phone
(315) 539-9229
NPI assigned
May 6, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 024254 NY Primary

Addresses

Primary practice location

1991 Balsley Rd
Seneca Falls, NY 13148-6725

Mailing address

PO Box 124
Rose, NY 14542-0124
Phone (315) 576-0082

Other practice location 1

4132 Main Street
Rose, NY 14542-0124
Phone (315) 576-0082

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
I20191125001390 NY Practitioner - Physician Assistant 4789017179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
91.71 of 100Reported as group
Quality
85.42
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024254NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soldiers & Sailors Memorial Hospital Single Specialty CurrentSince Feb 2, 2021 Accepting new patients
Soldiers & Sailors Memorial Hospital Single Specialty CurrentSince Feb 2, 2021 Accepting new patients
FLH Medical, PC Single Specialty CurrentSince Oct 28, 2019 Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

789 Pre Emption Rd
Ste 600
Geneva, NY 14456
Phone (315) 719-0060

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

1991 Balsley Rd
Seneca Falls, NY 13148
Phone (315) 539-0237

2360 State Route 89
Seneca Falls, NY 13148
Phone (315) 568-3000

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

Interoperability endpoints

  • Direct secure messaging: t.allen@flhmedical.medentdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1992360978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "ROSE",
            "state": "NY",
            "postal_code": "145420124",
            "telephone_number": "315-576-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 BALSLEY RD",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131486725",
            "telephone_number": "315-539-9229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4132 Main Street",
            "address_purpose": "LOCATION",
            "city": "Rose",
            "state": "NY",
            "postal_code": "145420124",
            "country_code": "US",
            "telephone_number": "315-576-0082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca Falls, NY

Sources for this page

Verify at the official NPI Registry.