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

Timothy R Cook, PA

Individual provider Surgical Physician Assistant · NPI 1720347800

Timothy R Cook, PA is a Physician Assistant in Meriden, Connecticut. Graduated from Yale University School of Medicine in 2011, 15 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
15
Trained at
Yale University School of Medicine
Licensed in
CT
In the registry since
2012
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

435 Lewis Ave
Meriden, CT 06451-2101
Phone: (203) 694-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 84 N Main St Bldg 2, Branford, CT 06405-3061 — (203) 483-2024

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 002749 (CT)

Record details

NPI number1720347800
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 10, 2012
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Meriden