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

Timothy Runyon

Individual provider Speech-Language Pathologist · NPI 1417326216

Timothy Runyon is a Qualified Speech Language Pathologist in New York, New York. Qualified in 2015, 11 years ago. Registered with an NPI since 2015.

Years since qualifying
11
In the registry since
2015
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Practice location Address checks out

50 Broadway Fl 6
New York, NY 10004-3810 Not confirmed with CMS for 11 years — call before visiting
Phone: (917) 305-7835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1417326216
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 22, 2015
Last updated in NPPESSeptember 22, 2015

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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