Timothy Im, PA-C
NPI 1215423702 · Physician Assistant · New York, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Im, PA-C is a Physician Assistant provider in New York, NY (NPI 1215423702).
Provider details
- NPI number
- 1215423702
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 022440 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1065 Southern BlvdBronx, NY 10459Phone: (718) 589-2440
Registry dates
- Enumerated
- 2018-07-08
- Last updated
- 2022-12-01
- Certified
- 2022-12-01
Frequently asked questions
- What is Timothy Im's NPI number?
- Timothy Im's National Provider Identifier (NPI) is 1215423702, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Im's specialty?
- Timothy Im is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Timothy Im located?
- Timothy Im's practice location on file with NPPES is 114 W 17th St, New York, NY 10011-5433.
- What is Timothy Im's phone number?
- The practice phone number listed in the NPPES registry for Timothy Im is (212) 321-7003.
- Does Timothy Im accept Medicare?
- Timothy Im is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Im's NPI active?
- Yes — Timothy Im's NPI (1215423702) is active in the NPPES registry as of the last update on 2022-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.