TIMOTHY RUNYON
NPI 1417326216
Speech-Language Pathologist in New York, NY
About Timothy Runyon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY RUNYON (NPI 1417326216) is an individual speech-language pathologist provider in New York, New York and active in the NPI registry since September 2015. He is a graduate of Other (2015).
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 (PECOS)
Timothy Runyon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Timothy Runyon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 2,094 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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10004
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 Runyon's NPI number?
The NPI number for Timothy Runyon is 1417326216. It was assigned to this individual provider in the NPPES registry on September 22, 2015.
Where is Timothy Runyon located?
Timothy Runyon practices at 50 Broadway Fl 6, New York, NY 10004. The listed phone number is (917) 305-7835.
What is Timothy Runyon's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Timothy Runyon enrolled in Medicare?
Yes. Timothy Runyon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Timothy Runyon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Runyon reassigns Medicare benefits to Physician Affiliate Group Of New York PC (New York, NY). The 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 Runyon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Timothy Runyon was last updated on September 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Timothy Runyon · NPI 1417326216
Speech-Language Pathologist provider in New York, New York. Individual provider, active in the CMS NPPES registry since September 22, 2015.
## Identity
- **NPI:** 1417326216 (Entity type: Individual)
- **Enumerated:** September 22, 2015
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 50 BROADWAY FL 6, New York, NY 10004-3810
- **Phone:** (917) 305-7835
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Physician Affiliate Group Of New York PC (NPI 1013375526, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 22, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1417326216) · Data from the CMS NPPES public registry.