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

Mr. Timothy Michael Roberts, PA-C

Individual provider Physician Assistant · NPI 1760753214

Mr. Timothy Michael Roberts, PA-C is a Physician Assistant in East Setauket, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2011, 15 years ago. Practices with John T Mather Memorial Hospital, a 180-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6 Technology Dr Ste 100
East Setauket, NY 11733-4079
Phone: (631) 689-6698
Fax: (631) 751-5548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 015420 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 015420 (NY)

Record details

NPI number1760753214
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 14, 2012
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice John T Mather Memorial Hospital — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Setauket