Individual provider Active NPI

Emad Adly Ghaly, M.D.

  • Neonatal-Perinatal Medicine Physician
  • New York, NY
National Provider Identifier
1285612119
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
ME81290 Issued in FL
Practice address
1901 1St Ave
New York, NY 10029-7404
Phone
(212) 423-8479
Fax
(212) 423-7846
NPI assigned
Dec 30, 2005
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 219864 NY
Neonatal-Perinatal Medicine Physician 2080N0001X 219864 NY
Neonatal-Perinatal Medicine Physician 2080N0001X ME81290 FL Primary

Addresses

Primary practice location

1901 1St Ave
New York, NY 10029-7404

Mailing address

16 Sabrina LN
Staten Island, NY 10304-2947
Phone (212) 423-8479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070119000442 NY Practitioner - Pediatric Medicine 6204837131 Reassigns benefits to 2 organizations
I20220304002305 FL Practitioner - Pediatric Medicine 6204837131 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
219864NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Pediatrics Current Accepting new patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Nov 20, 2021 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Nov 20, 2021 Accepting new patients
University of Florida Jacksonville Physicians Inc Pediatrics CurrentSince Oct 1, 2023 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Oct 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Coney Island Medical Practice Plan, P.C. Past Accepting new patients

Locations

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2601 Ocean Pkwy
#P
Brooklyn, NY 11235

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

1901 1st Ave
Rm 1103
New York, NY 10029
Phone (212) 360-6810

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

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

Interoperability endpoints

  • Direct secure messaging: eghaly835323@nychhc.direct-ci.com

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1285612119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SABRINA LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042947",
            "telephone_number": "212-423-8479",
            "fax_number": "212-423-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297404",
            "telephone_number": "212-423-8479",
            "fax_number": "212-423-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHALY",
        "first_name": "EMAD",
        "middle_name": "ADLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "219864",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NY",
            "license": "219864",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "FL",
            "license": "ME81290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.