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

Timothy Soo

Individual provider Emergency Medicine Physician · NPI 1689178899

Timothy Soo is an Emergency Medicine in West Islip, New York. Qualified in 2018, 8 years ago. Practices with Iems Physician Services PLLC, a 55-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2018
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Practice location Address checks out

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone: (631) 376-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence D0091617 (MD)

Record details

NPI number1689178899
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2018
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023
Mailing address4802 10th Ave, Brooklyn, NY 11219-2916

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Iems Physician Services Pllc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Islip