DR. TIMOTHY RYAN CASA-MALONE MD, MPH
NPI 1982399952
Student in an Organized Health Care Education/Training Program in Bay Shore, NY

Active since April 06, 2023
39 MONTGOMERY AVE, DEPT OF ANESTHESIOLOGY, BAY SHORE, NY 11706(631) 894-5939 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2024, Apr 6, 2023 (2 updates tracked since 2023).

About Dr. Timothy Ryan Casa-malone Md, Mph NPPES

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

DR. TIMOTHY RYAN CASA-MALONE MD, MPH (NPI 1982399952) is an individual student in an organized health care education/training program in Bay Shore, New York and active in the NPI registry since April 2023. He maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1982399952
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. TIMOTHY RYAN CASA-MALONECredential: MD, MPH
Location Address39 MONTGOMERY AVE, DEPT OF ANESTHESIOLOGYBay Shore, NY 11706-8004
Mailing AddressHealth Sciences Center T19-030 Stony Brook MedicineStony Brook, NY 11794-0001 · (631) 444-1791 · Fax (631) 444-7689
Sole ProprietorNo
Enumeration DateApril 6, 2023
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1982399952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
39 MONTGOMERY AVE, Bay Shore, NY 11706

Secondary Practice Location 1

Location 1Health Sciences Center T19-030Stony Brook, NY 11794-0001 · Phone (631) 444-1791 · Fax (631) 444-7689

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 Casa-malone's NPI number?

The NPI number for Timothy Casa-malone is 1982399952. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Timothy Casa-malone located?

Timothy Casa-malone practices at 39 Montgomery Ave Dept Of Anesthesiology, Bay Shore, NY 11706. The listed phone number is (631) 894-5939.

What is Timothy Casa-malone's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Timothy Casa-malone was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.