Gloria Twale Gbeneku, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

488871 Issued in NY

Practice address

119-41 225TH St Cambria Height
Jamaica
Queens, NY 11411-2115

Phone

(718) 341-1459

NPI assigned

May 1, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1063688935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119-41 225TH STREET CAMBRIA HEIGHT",
            "address_2": "JAMAICA",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "114112115",
            "telephone_number": "718-341-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119-41 225TH ST CAMBRIA HEIGHT",
            "address_2": "JAMAICA",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "114112115",
            "telephone_number": "718-341-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBENEKU",
        "first_name": "GLORIA",
        "middle_name": "TWALE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "488871",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "4888711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adithan Ganesh, M.D.
• Manuel Garcia Morell, MD
• Garden of Wellness Life Medical PC
• Natasha Garg, M.B.B.S.
• Juan Sebastian Garrigues, M.D.
• Celia Gellman, MD MS
• Anu George
• Lissamma George
• Georgina Lopez Dentist P.C.
• Jesusa Gervacio

• Registered Nurse in Queens, NY
• Providers in Queens, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.