Individual provider Active NPI

Christian Karl Bondoc Twano

  • Physician Assistant
  • Newington, CT
National Provider Identifier
1346123585
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
147 Dewey Ave
Newington, CT 06111-2062
Phone
(860) 990-4054
NPI assigned
Jul 28, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CT Primary

Addresses

Primary practice location

147 Dewey Ave
Newington, CT 06111-2062

Mailing address

147 Dewey Ave
Newington, CT 06111-2062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223001968 CT Practitioner - Physician Assistant 4789179177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Medical Center LLCGroup PAC ID 0840570628, 52 clinicians

Practice addresses (Care Compare)

105 W Rd
Ellington, CT 06029-5700
Phone (860) 454-0678

136 Berlin Rd
Cromwell, CT 06416-2627
Phone (860) 378-8585

278 Oxford Rd
Suite 2
Oxford, CT 06478-2000
Phone (860) 454-0678

2909 Berlin Tpke
Newington, CT 06111-4115
Phone (860) 454-0678

45 S Main St
Unionville, CT 06085-1278
Phone (860) 470-7710

790 N Colony Rd
Wallingford, CT 06492-2475
Phone (475) 310-3140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Medical Center LLC CurrentSince Oct 6, 2025 Accepting new patients

Locations

105 West Rd
Ellington, CT 06029
Phone (860) 454-0678

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1346123585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 DEWEY AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 DEWEY AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112062",
            "telephone_number": "860-990-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWANO",
        "first_name": "CHRISTIAN KARL",
        "middle_name": "BONDOC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

Verify at the official NPI Registry.