TIMOTHY GARDNER (NPI# 1043672165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043672165 |
| Entity Type | Individual |
| Full Name | TIMOTHY GARDNER |
| Credential | LPN |
| Practice Address |
1485 E 34th St Brooklyn NY 11234-2601 |
| Practice Telephone | 3479139447 |
| Mailing Telephone | 3479139447 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
324886 | NY | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104043942 | Timothy Elmer Gardner | Dentist | 2210 N Frazier St Ste 120, Conroe, TX 77303-1701 | 2007-04-20 |
| 1245363100 | Timothy A. Gardner | Dentist | 7001 S 900 E Ste 130, Midvale, UT 84047-1719 | 2007-03-13 |
| 1861482465 | Timothy Lee Gardner | Dermatology | 1009 N State of Franklin Access Rd, Johnson City, TN 37604-3693 | 2005-10-25 |
| 1649269499 | Timothy John Gardner | Internal Medicine | 6120 N Mayfair St, Suite 101, Spokane, WA 99208-1033 | 2005-10-14 |
| 1336288794 | Timothy J Gardner | Surgery | 4755 Ogletown Stanton Rd, Room 1218 - Christiana Hospital, Newark, DE 19718-0001 | 2007-02-05 |
| 1942303946 | Timothy Warren Gardner | Physician Assistant | 630 S Rancho Dr, Suite A, Las Vegas, NV 89106-4873 | 2006-09-06 |
| 1336183508 | Timothy M Gardner | Internal Medicine | 1600 S 48th St, Suite 600, Lincoln, NE 68506-1283 | 2006-06-16 |
| 1841249224 | Timothy Logan Gardner | Podiatrist | 10810 Parkside Dr, Suite 202, Knoxville, TN 37934-1979 | 2006-05-10 |
| 1962466938 | Timothy F Gardner | Nurse Practitioner | 4802 Broadway, Gary, IN 46408-4509 | 2006-04-14 |
| 1851387229 | Timothy B Gardner | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2005-09-21 |
| Street Address |
1485 E 34TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558652438 | Sean Upton Gardner | Occupational Therapist | 1485 E 34th St, Brooklyn, NY 11234-2601 | 2011-04-26 |
| 1518345503 | Valrie Elaine Gardner | Licensed Practical Nurse | 1485 E 34th St, Brooklyn, NY 11234-2601 | 2015-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 1013383264 | St. Mary's Hospital for Children | Skilled Nursing Facility | 507 Bainbridge St, Brooklyn, NY 11233-2002 | 2015-08-11 |
| 1659761518 | White Gloves | Skilled Nursing Facility | 428 Sheffield Ave Apt 4f, Brooklyn, NY 11207-4728 | 2015-01-30 |
| 1477979565 | Rolande Fanord | Skilled Nursing Facility | 1356 E 85th St, Brooklyn, NY 11236-5106 | 2014-03-13 |
| 1023384492 | Barbara Boyea | Skilled Nursing Facility | 2163 Dean St, Brooklyn, NY 11233-4003 | 2012-03-29 |
| 1457627168 | Dept of Ed | Skilled Nursing Facility | 211 72nd St, Brooklyn, NY 11209-2102 | 2012-03-27 |
| 1912206848 | Complete Home Care | Skilled Nursing Facility | 715 Saint Marks Ave, Brooklyn, NY 11216-3767 | 2011-03-17 |
| 1124245097 | Angelica Yap Sarenas | Skilled Nursing Facility | 175 Remsen St, Suite 1103, Brooklyn, NY 11201-4300 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144756479 | Christine Campbell | Skilled Nursing Facility | 14534 109th Ave, Jamaica, NY 11435-5414 | 2017-05-05 |
| 1871033985 | Sukhreet Bibbs | Skilled Nursing Facility | 1 Bradford Ct, Syracuse, NY 13207-2504 | 2017-03-08 |
| 1356890289 | Ann G Odonnell | Skilled Nursing Facility | 5644 Netherland Ave., 2a, Bronx, NY 10471 | 2016-10-04 |
| 1790239929 | Interim Healthcare | Skilled Nursing Facility | 2088 S Dry Brook Rd, Hancock, NY 13783-3442 | 2016-08-04 |
| 1992152060 | Jessica Lopez | Skilled Nursing Facility | 27 Wyndham Rd, Brentwood, NY 11717-2336 | 2016-05-18 |
| 1164893400 | Lois Knapp PCa | Skilled Nursing Facility | 2861 State Highway 7, Otego, NY 13825-2139 | 2015-10-13 |
| 1801265913 | Victor Marceano Rn | Skilled Nursing Facility | 85 California Ave, Middletown, NY 10940-6621 | 2015-09-18 |
| 1861860827 | Yves M Bastien | Skilled Nursing Facility | 79 Roeckel Ave, Valley Stream, NY 11580-3506 | 2015-09-08 |
| 1750757027 | Promed Staffing Resources | Skilled Nursing Facility | 99 Cameron Ave, Hempstead, NY 11550-4511 | 2015-08-20 |
| 1023499712 | Jonathan Louis | Skilled Nursing Facility | 19 Sterling Rd, Elmont, NY 11003-1418 | 2015-06-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.