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

Timothy A Mathis, MD

Individual provider Emergency Medicine Physician · NPI 1790788867

Timothy A Mathis, MD is an Emergency Medicine Physician in New Hartford, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1656 Champlin Ave
New Hartford, NY 13413-1068
Phone: (315) 624-6068
Fax: (315) 624-6308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 173917 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 173917 (NY)

Record details

NPI number1790788867
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESSeptember 11, 2025
Mailing address8636 Standish Rd, Rome, NY 13440-1441

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