TIM CANTY MD PLLC
NPI 1073899571
Specialist in Brooklyn, NY
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tim Canty Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Tim Canty MD PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYFrequently 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.
Is Tim Canty MD PLLC enrolled in Medicare?
Yes. Tim Canty MD PLLC is registered in the Medicare PECOS enrollment system.
When is Tim Canty MD PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tim Canty MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Tim Canty MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tim Canty Md Pllc · NPI 1073899571
Specialist organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since October 27, 2011.
## Identity
- **NPI:** 1073899571 (Entity type: Organization)
- **Enumerated:** October 27, 2011
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Tim Canty, OWNER
## Practice location
- **Address:** 101 BROADWAY, B02, Brooklyn, NY 11249-8663
- **Phone:** (917) 524-7246
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Pain Management) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2012
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073899571) · Data from the CMS NPPES public registry.