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

Timothy Brandt, MD

Individual provider Pediatrics Physician · NPI 1417452103

Timothy Brandt, MD is a Pediatric Medicine in Paterson, New Jersey. Qualified in 2018, 8 years ago. Licensed in New Jersey.

Years since qualifying
8
Licensed in
NJ
In the registry since
2018
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

703 Main St
Paterson, NJ 07503-2621
Phone: (973) 754-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MA12766000 (NJ)

Record details

NPI number1417452103
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address56 Plymouth Ave, Maplewood, NJ 07040-2335

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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