Dmitriy Timerman
Dermatology in Danbury, CT. Individual provider (NPI-1).
NPI number1174986525
StatusActive
Last updated in NPPESApr 8, 2021
Details
- NPI
- 1174986525
- Entity type
- Individual (NPI-1)
- Name
- Dmitriy Timerman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2016
- Certification date
- Apr 8, 2021
- Last updated
- Apr 8, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DERMATOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 67524 | CT | Yes |
| 207N00000X | Dermatology | 303823 | NY |
Practice location
107 Newtown Rd Ste 2cDanbury, CT 06810-4146
Phone 203-830-4700 · Fax 203-730-4165
Mailing address
107 Newtown Rd Ste 2cDanbury, CT 06810-4146
Phone 203-830-4700 · Fax 203-730-4165
Other practice locations
37 W End Ave Ph 2
Brooklyn, NY 11235-4870
Brooklyn, NY 11235-4870
Phone 718-375-7546
1000 10th Ave
New York, NY 10019-1147
New York, NY 10019-1147
Phone 212-523-4000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 17 Dermatology Physician providers in Danbury · All 2,930 providers in Danbury
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