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DR. TIMOTHY EVAN RADOMISLI MD
NPI 1619051265
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in New York, NY

Active since October 24, 2006PECOS Enrolled
130 EAST 77TH STREET, 12TH FLOOR, NEW YORK, NY 10021(212) 249-8088(212) 434-4887 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Timothy Evan Radomisli Md NPPES

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

DR. TIMOTHY EVAN RADOMISLI MD (NPI 1619051265) is an individual pediatric orthopaedic surgery provider in New York, New York, licensed in New York (189251) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619051265
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameDR. TIMOTHY EVAN RADOMISLICredential: MD
Location Address130 EAST 77TH STREET, 12TH FLOORNew York, NY 10021
Mailing Address130 East 77th Street, 12th FloorNew York, NY 10021 · (212) 249-8088 · Fax (212) 434-4887
Phone(212) 249-8088
Fax(212) 434-4887
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619051265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in NY · 189251
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
130 EAST 77TH STREET, New York, NY 10021
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Other Identifiers 1

Medicare UPINC23788

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy Evan Radomisli Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. NICOLAS M VAN MIEGHEM M.D.
General Acute Care Hospital (Critical Access)
130 EAST 77TH STREET
NEW YORK, NY 10021
New York County (212) 434-6839
WENDY LYNN BENDERSKY P.A.
Physician Assistant
130 EAST 77TH STREET, 8TH FLOOR
NEW YORK, NY 10021
New York County (212) 861-2300

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 Radomisli's NPI number?

The NPI number for Timothy Radomisli is 1619051265. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Timothy Radomisli located?

Timothy Radomisli practices at 130 East 77th Street 12th Floor, New York, NY 10021. The listed phone number is (212) 249-8088.

What is Timothy Radomisli's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Timothy Radomisli enrolled in Medicare?

Yes. Timothy Radomisli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Radomisli was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.