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

Timothy Brandriff, PA

Individual provider Physician Assistant · NPI 1740320092

Timothy Brandriff, PA is a Physician Assistant in Greenwich, Connecticut. Qualified in 2003, 23 years ago. Practices with Ny Mobile Medical PC, a 2-clinician group and accepts Medicare assignment. Licensed in Connecticut, New York and Pennsylvania.

Years since qualifying
23
Licensed in
CT, NY, PA
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

81 Holly Hill Ln Fl 3
Greenwich, CT 06830-6071
Phone: (203) 869-5515
Fax: (203) 869-5765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 017907 (NY)
Physician Assistant Taxonomy 363A00000X · Licence OA000913 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 003346 (CT)

Record details

NPI number1740320092
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Ny Mobile Medical Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Greenwich