Magdy Shady M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1811099 Issued in NY

Legal business name

MAGDY SHADY M.D., P.C.

Practice address

2500 Nesconset Hwy
BLDG. 18C Ste.69
Stony Brook, NY 11790-2555

Phone

(631) 751-2700

Fax

(631) 751-5853

NPI assigned

Dec 30, 2009

Organization subpart

No

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

Authorized official

Name

Marilyn Rivera

Title

Office Manager

Phone

(631) 751-2700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Magdy Shawky Shady, M.D.

  • Neurological Surgery Physician
  • Stony Brook, NY
  • NPI 1073556437
  Medicare reassignment NPD

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1225368038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BLDG. 18C STE.69",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-751-2700",
            "fax_number": "631-751-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BLDG. 18C STE.69",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-751-2700",
            "fax_number": "631-751-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGDY SHADY M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OFFICE  MANAGER",
        "authorized_official_telephone_number": "631-751-2700"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "1811099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Anne Mackow, MD
• Donald Scott Macron, MD
• Brian Macutay, DO
• Echezona Maduekwe, MD
• Justin Onyedikachukwu Maduka, DDS
• Magdy Shady Neurosurgeon PC
• Arielle Brianna Maggio-Ferguson, PA-C
• Andreea Cristina Maghiar, MS, RN, APRN, AGNP-C
• James Steven Magidson, MD
• Brittain Mahaffey, PHD

• Specialist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.