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

Timothy J Bucklaew, PA

Individual provider Physician Assistant · NPI 1407310741

Timothy J Bucklaew, PA is a Physician Assistant in Canandaigua, New York. Qualified in 2018, 8 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

229 Parrish St Ste 100
Canandaigua, NY 14424-1791
Phone: (585) 394-1960
Fax: (585) 393-9232
Show map & directions

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

Additional practice locations (7)

  • 50 Middle Rd, Henrietta, NY 14467-9312 — (585) 723-7600
  • 2621 Culver Rd, Rochester, NY 14609-1746 — (585) 295-5476
  • 2115 Chili Ave, Rochester, NY 14624-3425 — (585) 723-7600
  • 2410 Ridgeway Ave, Rochester, NY 14626-4114 — (585) 723-3000
  • 360 Linden Oaks Ste 100, Rochester, NY 14625-2814 — (585) 723-3000
  • 360 Linden Oaks Ste 200, Rochester, NY 14625-2814 — (585) 366-2010
  • 140 Cobblestone Court Dr, Victor, NY 14564-1045 — (585) 922-9280

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 023245 (NY)

Record details

NPI number1407310741
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 30, 2019
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

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)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Canandaigua