DR. EDEM NGUAMON TIMPO (MD) – Pediatrics Physician, NPI 1366930265
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
626 PEDIATRIC MEDICINE in NJ
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Provider Addresses for DR. EDEM NGUAMON TIMPO (MD)
Newark Beth Israel Medical Center, 201, Lyons Avenue, Newark, Essex County, New Jersey, 07112, United States
NEWARK, NJ 071122027
Phone:
Type: Mailing
10800 Panama City Beach Pkwy Ste 100
Panama City Beach, FL 324072532
Phone: (850) 249-3500
Fax: (850) 249-3530
Type: Location
2828 International Cir Ste 140
Colorado Springs, CO 809103127
Phone: (719) 632-5700
Type: Location
2515 MARTIN LUTHER KING JR BLVD
PANAMA CITY, FL 32405
Phone: (850) 257-5524
Fax: (850) 257-5638
Type: Location
1105 CLARA AVE APT 1205
PANAMA CITY BEACH, FL 324072890
Phone: (609) 216-0942
Fax: (609) 372-5222
Type: Mailing
202 FOREST PARK CIR
PANAMA CITY, FL 324054915
Phone: (850) 257-5524
Fax: (850) 257-5638
Type: Location
2515 MARTIN LUTHR KING JR BLVD
PANAMA CITY, FL 32405
Phone: (850) 257-5524
Fax: (609) 928-8694
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $655.
Total Amount is formed as General ($655) + Research ($0) + Ownership ($0) = $655.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($283).
Total Amount
$655
General + Research + Ownership
Payments
23
Total payment records
General Amount
$655
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250618001435 | I | Pediatric Medicine | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07112)
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