Organization Active NPI

Girgis MD PLLC

  • Family Medicine Physician
  • Staten Island, NY
National Provider Identifier
1184092314
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200450 Issued in NY
Legal business name
GIRGIS MD PLLC
Practice address
1332A Rockland Ave
Staten Island, NY 10314-4944
Phone
(845) 362-8100
Fax
(845) 354-6347
NPI assigned
Sep 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Hanan Waizman
Title
Admin
Phone
(845) 362-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 200450 NY Primary

Addresses

Primary practice location

1332A Rockland Ave
Staten Island, NY 10314-4944

Mailing address

76 Battery Ave
Brooklyn, NY 11228-3550
Phone (718) 836-5706

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1184092314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BATTERY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283550",
            "telephone_number": "718-836-5706",
            "fax_number": "718-836-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332A ROCKLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144944",
            "telephone_number": "845-362-8100",
            "fax_number": "845-354-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIRGIS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "WAIZMAN",
        "authorized_official_first_name": "HANAN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "845-362-8100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "200450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.