Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beverly Timothy

Individual provider Adult Health Nurse Practitioner · NPI 1649502568

Beverly Timothy is a Nurse Practitioner in Jamaica, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 1999, 27 years ago. Practices with Modern Physician Services PC, a 53-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2010
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Practice location Address checks out

9704 Sutphin Blvd
Jamaica, NY 11435-4721
Phone: (718) 657-7088
Fax: (718) 657-7092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 302799 (NY)

Record details

NPI number1649502568
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 2, 2010
Last updated in NPPESJuly 15, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Modern Physician Services Pc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Jamaica