TIM EDWARDS
NPI 1669839080
Specialist in Port Jeff Sta, NY

Q: What is Tim Edwards's NPI number?

The NPI number for Tim Edwards is 1669839080. It was assigned to this individual provider in the NPPES registry on January 16, 2016.

Q: What is Tim Edwards's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Tim Edwards was last updated on January 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 January 16, 2016

5 FARNHAM PL, PORT JEFF STA, NY 11776(631) 882-8026 Get Directions Write a Review

NPPES record last updated: January 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Tim Edwards NPPES

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

TIM EDWARDS (NPI 1669839080) is an individual specialist in Port Jeff Sta, New York and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1669839080

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameTIM EDWARDS

Location Address5 FARNHAM PLPort Jeff Sta, NY 11776-3412

Mailing Address5 Farnham PlPort Jeff Sta, NY 11776-3412

Phone(631) 882-8026

Sole ProprietorYes

Enumeration DateJanuary 16, 2016

✔ NPI 1669839080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5 FARNHAM PL, Port Jeff Sta, NY 11776

Open in Google Maps ↗

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.

MRS. LAURA EDWARDS

Specialist

5 FARNHAM PL
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 331-5016

TIMOTHY EDWARDS

Specialist

5 FARNHAM PL
PORT JEFF STA, NY 11776

Suffolk County (631) 464-2155

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 Tim Edwards's NPI number?

The NPI number for Tim Edwards is 1669839080. It was assigned to this individual provider in the NPPES registry on January 16, 2016.

Where is Tim Edwards located?

Tim Edwards practices at 5 Farnham Pl, Port Jeff Sta, NY 11776. The listed phone number is (631) 882-8026.

What is Tim Edwards's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tim Edwards was last updated on January 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.