Organization Active NPI

Cancer Therapeutics Innovation Group

  • Clinical Medical Laboratory
  • New York, NY
National Provider Identifier
1942505904
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
264295 Issued in NY
Legal business name
CANCER THERAPEUTICS INNOVATION GROUP
Practice address
777 3Rd Ave
Suite 14a
New York, NY 10017-1401
Phone
(212) 355-3755
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Dr. Petros Giannikopoulos
Title
Partner
Phone
(212) 355-3755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 264295 NY Primary

Addresses

Primary practice location

777 3Rd Ave
Suite 14a
New York, NY 10017-1401

Mailing address

777 3Rd Ave
Suite 14a
New York, NY 10017-1401
Phone (212) 355-3755

National Provider Directory

National Provider Directory

Locations

777 3rd Ave
Rm 14A
New York, NY 10017
Phone (212) 355-3755

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1942505904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 3RD AVE",
            "address_2": "SUITE 14A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171401",
            "telephone_number": "212-355-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 3RD AVE",
            "address_2": "SUITE 14A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171401",
            "telephone_number": "212-355-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER THERAPEUTICS INNOVATION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "GIANNIKOPOULOS",
        "authorized_official_first_name": "PETROS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "212-355-3755",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "264295",
            "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 Jun 25, 2013; 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.