BEVERLY TIMOTHY
NPI 1649502568
Nurse Practitioner - Adult Health in Jamaica, NY

Q: What is Beverly Timothy's NPI number?

The NPI number for Beverly Timothy is 1649502568. It was assigned to this individual provider in the NPPES registry on February 2, 2010.

Q: What is Beverly Timothy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Beverly Timothy was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since February 02, 2010PECOS EnrolledAccepts Medicare Assignment

9704 SUTPHIN BLVD, JAMAICA, NY 11435(718) 657-7088(718) 657-7092 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Beverly Timothy NPPES

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

BEVERLY TIMOTHY (NPI 1649502568) is an individual adult health provider in Jamaica, New York, licensed in New York (302799) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1999).

NPPES Registry Identity

NPI1649502568

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameBEVERLY TIMOTHY

Location Address9704 SUTPHIN BLVDJamaica, NY 11435-4721

Mailing Address86 Colonial AveFreeport, NY 11520-1251

Phone(718) 657-7088

Fax(718) 657-7092

Sole ProprietorYes

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1999

Enumeration DateFebruary 2, 2010

Last NPPES UpdateJuly 15, 2014

✔ NPI 1649502568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 302799

9704 SUTPHIN BLVD, Jamaica, NY 11435

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Other Identifiers 6

Medicare OSCAR/certificationW6L111NY

Medicare OSCAR/certificationG100000410NY

Medicare OSCAR/certification331009NY

Medicare OSCAR/certification331943NY

Medicare OSCAR/certification331058NY

Medicaid00695941NY

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

Beverly Timothy 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.

PECOS PAC ID9537204060

PECOS Enrollment IDI20100308000660

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.

Medicare Billing Reassignment

Medicare enrollment records show Beverly Timothy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Modern Physician Services PC

7.2 mi

Urgent Care

68 GRAHAM AVE
Brooklyn, NY 11206

Reassigned Medicare billing, New York enrollment
49 clinicians in this Medicare group

NPI 1932590601 (644) 593-8773

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

COMMUNITY HEALTHCARE NETWORK, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))