Twilight Medical Clinical Services PC

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

(848) 702-3050

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Gianoukakis, M.D.NPI 1275574741

Title

Officer

Phone

(848) 702-3050

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Nicholas Gianoukakis, M.D.

  • Family Medicine Physician
  • Roslyn Heights, NY
  • NPI 1275574741
  NPD (past) Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467536011",
    "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": "848-702-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWILIGHT MEDICAL CLINICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "216791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02058717",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meshulam Z Twerski, MD
• Rebecca M Twersky-Kengmana, MD
• Ligia Twersky, NP
• Mariah Twigg, LMSW
• Twilight Medical Clinical Services PC
• Twilight Medical Diagnostic Services PC
• Twilight Medical PC
• Twilight Mental Health Care LLC
• Twin Pharmacy 2 Corp
• Twin Pharmacy Corp

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.