Tilis Health Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

TILIS HEALTH INC

Practice address

2430 64TH St
Brooklyn, NY 11204-3448

Phone

(917) 725-1617

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

William Chung, NPNPI 1043809031

Title

Ceo

Phone

(917) 294-6240

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Chung, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1043809031
  NPD Authorized official

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1083339378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 W 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233735",
            "telephone_number": "917-725-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 64TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043448",
            "telephone_number": "917-725-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILIS HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-294-6240",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tilden Family Dental Services P.C.
• Tilden Medical Group PLLC
• Beth Tyler Tilden
• Victoria Ann Tiley, M.S.ED
• Tilinca LLC
• Aza Tilis, S.ED (MA ED.)
• Chana Tilis, RPA-C
• Semyon Tilis, D.D.S
• Steven Till, D.C., DOCTOR OF CHIROPRACT
• Anna Felise Tilles, LMSW

• Health Service Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.