Individual provider Active NPI

Al O Giwa, MD, MBA, MBE

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1083689673
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA08213300 Issued in NJ
Practice address
24 Clifton PL
Brooklyn, NY 11238-1202
Phone
(718) 483-6333
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 043715 CT
Emergency Medicine Physician 207P00000X 210159 NY
Emergency Medicine Physician 207P00000X 25MA08213300 NJ Primary

Addresses

Primary practice location

24 Clifton PL
Brooklyn, NY 11238-1202

Mailing address

24 Clifton PL
Brooklyn, NY 11238-1202
Phone (718) 483-6333

Other identifiers 1

IdentifierTypeStateIssuer
01825052MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040810000585 NY Practitioner - Emergency Medicine 2567434681 Reassigns benefits to 3 organizations
I20050831000188 CT Practitioner - Emergency Medicine 2567434681 Reassigns benefits to 6 organizations
I20101118000176 NJ Practitioner - Emergency Medicine 2567434681 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
043715CTMDEmergency Medicine Physician
25MA08213300NJMDEmergency Medicine Physician
210159NYMDClinical Nurse Specialist

Practice roles (28 of 32)

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince Feb 24, 2018 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Nes Medical Services of Northern Connecticut, P.C. Emergency Medicine CurrentSince Apr 17, 2024 Accepting new patients
Fpa Hospital Based Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 24, 2018 Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince May 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Nes Medical Services of Northern Connecticut, P.C. Emergency Medicine Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Aug 12, 2017 Accepting new patients
Delphi Healthcare PLLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Aug 12, 2017 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Fpa Hospital Based CurrentSince Sep 1, 2017 Accepting new patients
Hartford Hospital CurrentSince Dec 18, 2020 Accepting new patients
Hartford Hospital Emergency Medicine CurrentSince Dec 18, 2020 Accepting new patients
Keystone Medical Services of New York, PC Emergency Medicine Past Accepting new patients
Exigence Medical of Olean, PLLC Past Accepting new patients
St Lukes Roosevelt Hospital Center Emergency Medicine Past Accepting new patients
Essex Emergency Group PC Emergency Medicine Past Accepting new patients
Ross Emergency Group PC, Inc Emergency Medicine Past Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine Past Accepting new patients
Pegasus Emergency Medicine Troy Ny PC Emergency Medicine Past Accepting new patients
Ohio Em-I Medical Services, Professional Association Past Accepting new patients
Long Island College Hospital Emergency Medicine Past Accepting new patients
Connecticut Em-1 Medical Services, PC Emergency Medicine Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients
Erie Banks Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Valley Emergency Physicians Ohio LLC Emergency Medicine Past Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

555 Saint Josephs Blvd
Elmira, NY 14901
Phone (607) 733-6541

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

515 Main St
Olean, NY 14760
Phone (716) 373-2600

1170 Chili Ave
Rochester, NY 14624
Phone (585) 330-3374

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1083689673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CLIFTON PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381202",
            "telephone_number": "718-483-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CLIFTON PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381202",
            "telephone_number": "718-483-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIWA",
        "first_name": "AL",
        "middle_name": "O",
        "credential": "MD, MBA, MBE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "043715",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "210159",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA08213300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01825052",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.