TIM CANTY MD PLLC
NPI 1073899571
Specialist in Brooklyn, NY

Active since October 27, 2011CLIA 33D2343322 · Waiver
101 BROADWAY, B02, BROOKLYN, NY 11249(917) 524-7246 Get Directions Write a Review

NPPES record last updated: January 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tim Canty Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIM CANTY MD PLLC (NPI 1073899571) is a healthcare organization registered as a specialist in Brooklyn, New York and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Tim Canty, Owner, as its authorized official.

NPPES Registry Identity

NPI1073899571
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTIM CANTY MD PLLC
Location Address101 BROADWAY, B02Brooklyn, NY 11249-8663
Mailing Address11 Bleecker St, 3New York, NY 10012-2402 · (617) 642-0141
Organization SubpartNo
Authorized OfficialTim CantyOwner · (917) 524-7246
Enumeration DateOctober 27, 2011
Last NPPES UpdateJanuary 3, 2012
NPI 1073899571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 237504
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

101 BROADWAY, Brooklyn, NY 11249

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2343322

Tim Canty MD PLLC · New Hyde Park, NY
Active · expires May 4, 2028
CLIA Number33D2343322
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorTimothy J. Canty
Laboratory Phone(917) 524-7246
Laboratory LocationTim Canty MD PLLC2001 Marcus Ave #w95, New Hyde Park, NY 11042
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
101 BROADWAY, SUITE 301
BROOKLYN, NY 11249
Audiologist
101 BROADWAY, SUITE 201
BROOKLYN, NY 11249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tim Canty MD PLLC's NPI number?

The NPI number for Tim Canty MD PLLC is 1073899571. It was assigned to this organization in the NPPES registry on October 27, 2011.

Where is Tim Canty MD PLLC located?

Tim Canty MD PLLC is located at 101 Broadway B02, Brooklyn, NY 11249. The listed phone number is (917) 524-7246.

What is Tim Canty MD PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Tim Canty MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2343322) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tim Canty MD PLLC was last updated on January 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.