Organization Active NPI

Twilight Medical Clinical Services PC

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1386718476
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
216791 Issued in NY
Legal business name
TWILIGHT MEDICAL CLINICAL SERVICES PC
Practice address
64 Nagle Ave
New York, NY 10040-1406
Phone
(212) 544-8800
Fax
(212) 544-0808
NPI assigned
Nov 20, 2006
Last updated
Mar 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Nicholas Gianoukakis, M.D.NPI 1275574741
Title
Officer
Phone
(848) 702-3050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 216791 NY Primary

Addresses

Primary practice location

64 Nagle Ave
New York, NY 10040-1406

Mailing address

16 Ziegert St
South River, NJ 08882-1160
Phone (732) 613-0152

National Provider Directory

National Provider Directory

Locations

944 N Broadway
Ste G02
Yonkers, NY 10701
Phone (914) 375-5605

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1386718476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ZIEGERT ST",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088821160",
            "telephone_number": "732-613-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 NAGLE AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401406",
            "telephone_number": "212-544-8800",
            "fax_number": "212-544-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWILIGHT MEDICAL CLINICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "GIANOUKAKIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "848-702-3050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "216791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.