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

Timothy Im, PA-C

Individual provider Physician Assistant · NPI 1215423702

Timothy Im, PA-C is a Physician Assistant in New York, New York. Qualified in 2018, 8 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

114 W 17th St
New York, NY 10011-5433
Phone: (212) 321-7003
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1065 Southern Blvd, Bronx, NY 10459 — (718) 589-2440

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 022440 (NY)

Record details

NPI number1215423702
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 8, 2018
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022

Medicare enrollment

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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients15
Services billed 40 a service is one billed item, such as a visit, a test or a procedure
Average patient age68

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Other providers in New York