TIMOTHY J HENDERSON (NPI# 1326005307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326005307 |
| Entity Type | Individual |
| Full Name | TIMOTHY J HENDERSON |
| Credential | MD |
| Practice Address |
1055 Hamburg Tpke Ste 2 Wayne NJ 07470 |
| Mailing Address |
Po Box 416457 Boston MA 02241-6457 |
| Practice Telephone | 9736160200 |
| Practice Fax Number | 9736161792 |
| Mailing Telephone | 8443621735 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | A92330 | CA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 52523 | GA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
25MA09165800 | NJ | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
271409-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679563969 | Timothy D Henderson | Chiropractor | 40 Cr 123, Gainesville, TX 76240 | 2005-10-27 |
| 1033600168 | Timothy Koplik Henderson | Emergency Medicine | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2018-05-24 |
| 1659718112 | Timothy Andrew Henderson | Pharmacist | 10200 Seminole Blvd, Seminole, FL 33778-4201 | 2013-05-23 |
| 1174571780 | Timothy James Henderson | Chiropractor | 610 East Blvd, Rapid City, SD 57701-2902 | 2006-05-05 |
| Street Address |
1055 HAMBURG TPKE STE 2 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346326956 | Nader Fahimi | Orthopaedic Surgery | 342 Hamburg Turnpike, Suite 209, Wayne, NJ 07470-1614 | 2006-10-27 |
| 1790047959 | Ahmad Badri | Orthopaedic Surgery | 342 Hamburg Tpke Ste 202, Wayne, NJ 07470-2166 | 2012-06-13 |
| 1821224429 | New Jersey Orthopaedic Institute, LLC | Orthopaedic Surgery | 504 Valley Rd, Suite 200, Wayne, NJ 07470-3534 | 2009-06-09 |
| 1982882601 | Elite Orthopedics and Sports Medicine, P.a. | Orthopaedic Surgery | 342 Hamburg Tpke, Suite 209, Wayne, NJ 07470-2162 | 2008-02-05 |
| 1154455947 | Anthony Nmi Festa | Orthopaedic Surgery | 504 Valley Rd, Suite 200, Wayne, NJ 07470-3534 | 2007-03-15 |
| 1588740195 | Northlands Orthopaedic & Sports Medicine Pa | Orthopaedic Surgery | 504 Valley Rd, Suite 200, Wayne, NJ 07470-3534 | 2006-10-27 |
| 1831271410 | Jonathan Michael Roth | Orthopaedic Surgery | 1055 Hamburg Tpke, Wayne, NJ 07470-3235 | 2006-10-20 |
| 1972510428 | Alan E Schultz | Orthopaedic Surgery | 516 Hamburg Tpke, Suite 2, Wayne, NJ 07470-2062 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619536323 | Collegiate Sports Care, LLC | Orthopaedic Surgery | 345 Main St Ste 201, Madison, NJ 07940-2339 | 2019-06-07 |
| 1215443841 | North Jersey Sports Medicine & Orthopedic Center, LLC | Orthopaedic Surgery | 218 Ridgedale Ave Ste 202, Cedar Knolls, NJ 07927-2109 | 2017-12-19 |
| 1811318496 | Gotham City Orthopedics, LLC | Orthopaedic Surgery | 100 Town Square Pl Ste 208, Jersey City, NJ 07310-2778 | 2013-12-26 |
| 1124454822 | Andrew James Mostello | Orthopaedic Surgery | 205 S Orange Ave Ste C-1200, Newark, NJ 07103 | 2013-09-25 |
| 1750625430 | The Frankel Orthopedic and Sports Medicine Center LLC | Orthopaedic Surgery | 64 Central Square, Linwood, NJ 08221 | 2012-11-19 |
| 1215261037 | North Jersey Orthopaedic & Sports Medicine Institute | Orthopaedic Surgery | 6 Brighton Rd Ste 101, Clifton, NJ 07012-1647 | 2009-09-25 |
| 1154569044 | Jose Francisco Colon | Orthopaedic Surgery | 638 Mount Prospect Ave, Newark, NJ 07104-3110 | 2009-01-30 |
| 1376746362 | Diego Alberto Herrera Figueira | Orthopaedic Surgery | 236 E Westfield Avenue, Suite 203, Roselle Park, NJ 07204 | 2007-06-07 |
| 1184832255 | Frances Mary Rispoli | Orthopaedic Surgery | 426 Franklin Ave, Belleville, Belleville, NJ 07109-1503 | 2007-05-20 |
| 1063562445 | David Michael Deramo | Orthopaedic Surgery | 370 Grand Ave Ste 100, Englewood, NJ 07631-4109 | 2007-01-10 |
| 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.