MR. TIMOTHY RICHARD DACKOW NURSE PRACTITIONER
NPI 1144700741
Nurse Practitioner - Adult Health in East Moriches, NY
About Mr. Timothy Richard Dackow Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TIMOTHY RICHARD DACKOW NURSE PRACTITIONER (NPI 1144700741) is an individual adult health provider in East Moriches, New York, licensed in New York (F3088261) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Timothy Richard Dackow Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Timothy Dackow reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bellport, NY 11713
- Reassigned Medicare billing, New York enrollment
- 89 clinicians in this Medicare group
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- 77 clinicians in this Medicare group
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1215976337 (New York)
- 177 clinicians in this Medicare group
Islip, NY 11751
- Reassigned Medicare billing, New York enrollment
- 17 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Suny/Stony Brook University Hospital
Acute Care Hospitals · Stony Brook, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11940 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Timothy Dackow's NPI number?
The NPI number for Timothy Dackow is 1144700741. It was assigned to this individual provider in the NPPES registry on August 14, 2018.
Where is Timothy Dackow located?
Timothy Dackow practices at 7 Newpoint Ln, East Moriches, NY 11940. The listed phone number is (516) 322-8850.
What is Timothy Dackow's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Timothy Dackow enrolled in Medicare?
Yes. Timothy Dackow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Timothy Dackow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Dackow reassigns Medicare benefits to 6 organizations: Brookhaven Memorial Hospital Medical Center (Bellport, NY), Stony Brook Emergency Physicians, University Faculty Practice Corporat (Stony Brook, NY), Stony Brook Internists, University Faculty Practice Corporation (Stony Brook, NY), Partners In Critical Care, LLP (Islip, NY), North Shore-Lij Medical PC (Great Neck, NY) and 1 more organization, listed in the Medicare section above. Each 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 Timothy Dackow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Timothy Dackow affiliated with any hospitals?
According to CMS data, Timothy Dackow is affiliated with Suny/Stony Brook University Hospital.
When was this NPI record last updated?
The NPPES record for Timothy Dackow was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mr. Timothy Richard Dackow, NURSE PRACTITIONER · NPI 1144700741
Adult Health physician in East Moriches, New York. Individual provider, active in the CMS NPPES registry since August 14, 2018.
## Identity
- **NPI:** 1144700741 (Entity type: Individual)
- **Enumerated:** August 14, 2018
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F3088261 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 7 NEWPOINT LN, East Moriches, NY 11940-1565
- **Phone:** (516) 322-8850
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Brookhaven Memorial Hospital Medical Center (NPI 1184041899, Bellport, NY); Stony Brook Emergency Physicians, University Faculty Practice Corporat (NPI 1265487672, Stony Brook, NY); Stony Brook Internists, University Faculty Practice Corporation (NPI 1104865229, Stony Brook, NY); Partners In Critical Care, LLP (NPI 1053486670, Islip, NY); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** August 14, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1144700741) · Data from the CMS NPPES public registry.