Organization Active NPI

Twilight Medical Diagnostic Services PC

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1467579391
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
216791-1 Issued in NY
Legal business name
TWILIGHT MEDICAL DIAGNOSTIC SERVICES PC
Practice address
64 Nagle Ave
New York, NY 10040-1406
Phone
(212) 544-8800
Fax
(212) 544-0808
NPI assigned
Mar 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nicholas Gianoukakis, M.D.
Title
Owner
Phone
(848) 702-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 216791-1 NY Primary

Addresses

Primary practice location

64 Nagle Ave
New York, NY 10040-1406

Mailing address

64 Nagle Ave
New York, NY 10040-1406
Phone (212) 544-8800

National Provider Directory

National Provider Directory

Locations

1958 Ocean Ave
Ste 1
Brooklyn, NY 11230
Phone (718) 645-4573

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467579391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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 DIAGNOSTIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIANOUKAKIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "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": "216791-1",
            "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 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.