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

Mr. Timothy J Driscoll

Individual provider Certified Registered Nurse Anesthetist · NPI 1497245716

Mr. Timothy J Driscoll is a Certified Registered Nurse Anesthetist (CRNA) in Long Branch, New Jersey. Qualified in 2018, 8 years ago. Practices with Rwjbh Observation Associates LLC, a 971-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
8
Licensed in
NJ, PA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

300 2nd Ave
Long Branch, NJ 07740
Phone: (732) 222-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 26NJ00849000 (NJ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 122086 (PA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 26NR18328900 (NJ)

Record details

NPI number1497245716
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 11, 2018
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021
Mailing address1028 Pine St Apt 3, Philadelphia, PA 19107-6007

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Rwjbh Observation Associates Llc — 971 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Long Branch