DR. TIMOTHY FRANCIS BRADY (NPI# 1417099045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417099045 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY FRANCIS BRADY |
| Credential | D.D.S. |
| Practice Address |
111 Mason St Newark NY 14513-1459 |
| Mailing Address |
Po Box 738 Penfield NY 14526-0738 |
| Practice Telephone | 3153314115 |
| Mailing Telephone | 5856784420 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2009-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
033560 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225050529 | Timothy P. Brady | Dentist | 140 Punzalan St, C/o Guam Dental Arts, Tamuning, GU 96913-3441 | 2006-07-24 |
| 1942253208 | Timothy B Brady | Internal Medicine | 9443 E. 38th St., Indianapolis, IN 46236-2132 | 2006-05-18 |
| 1568994903 | Timothy Brady | Pediatrics | 2821 Maplewood Ave, Winston Salem, NC 27103-4137 | 2017-04-03 |
| 1801024666 | Timothy J Brady | Nurse Anesthetist, Certified Registered | 601 N 30th St, Suite 3222, Omaha, NE 68131-2137 | 2009-06-30 |
| 1114059813 | Timothy Daniel Brady | Psychologist | 2580 E Main St, Suite 100, Ventura, CA 93003-2646 | 2007-03-09 |
| 1346386554 | Timothy H Brady | Social Worker | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2007-01-29 |
| 1518056258 | Timothy Tobin Brady | Internal Medicine | 10012 Kennerly Rd, Ste 101, St Louis, MO 63128 | 2006-10-12 |
| 1083680383 | Timothy J. Brady | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2006-02-27 |
| 1720074792 | Timothy K. Brady | Chiropractor | 514 28 1/4 Rd, Suite 1, Grand Junction, CO 81501-4961 | 2005-09-23 |
| Street Address |
111 MASON ST |
| City | NEWARK |
| State | NY |
| Zip Code | 14513-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640621 | Thomas James Miller | Dentist | 111 Mason St, Newark, NY 14513-1459 | 2005-06-22 |
| 1275989295 | Michele Bowersox | Counselor | 111 Mason St, Newark, NY 14513-1459 | 2016-05-09 |
| 1740607241 | Newark Family Dental Pllc | Dentist | 111 Mason St, Newark, NY 14513-1459 | 2014-03-21 |
| 1801973953 | James E Praino | Dentist | 111 Mason St, Newark, NY 14513-1408 | 2006-11-01 |
| 1699866400 | Jonathan S Carey | Dentist | 111 Mason St, Newark, NY 14513-1408 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| Find all providers in zip 14513 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390468 | Naima Mehek Javed | Dentist | 24 Jones St Apt 509, Newark, NJ 07103-3844 | 2020-06-08 |
| 1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
| 1437688421 | Mid Atlantic Dental Partners Delaware 1, Pa | Dentist | 330 Christiana Medical Ctr, Newark, DE 19702-1653 | 2017-06-05 |
| 1902340169 | Rajinder Hernandez | Dentist | 35111 Newark Blvd Ste A, Newark, CA 94560-1258 | 2016-12-07 |
| 1164813218 | Eugene F Vane Jr. | Dentist | 168 Frontage Road, Newark, NJ 07114 | 2015-02-11 |
| 1598166688 | Gerald Au Dds Inc | Dentist | 35378 Lake Blvd, Newark, CA 94560-1360 | 2014-09-09 |
| 1093083156 | Marling Susana Espinosa | Dentist | 56 Ferguson St Apt E1, Newark, NJ 07105-2881 | 2011-12-05 |
| 1932481637 | Nachiket Dave | Dentist | 6258 Quicksilver Ave, Newark, CA 94560-5119 | 2011-09-19 |
| 1245538495 | Estella Guo | Dentist | 47 Boston Ct, Newark, NJ 07103-3445 | 2011-03-10 |
| 1891003596 | Edwin Simon Kuipers | Dentist | 210 W Park Pl, Newark, DE 19711-4519 | 2010-09-16 |
| Find all providers in NEWARK | ||||
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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.