Individual provider Active NPI

Magda F. Baskharoun-Guirguis, PD.D.

  • Clinical Laboratory Director (Non-physician)
  • Brooklyn, NY
National Provider Identifier
1356948392
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
License
BASKM1 Issued in NY
Practice address
6103 Strickland Ave Ste D
Brooklyn, NY 11234-6408
Phone
(888) 826-3349
Fax
(844) 628-5009
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician) 247ZC0005X BASKM1 NY Primary

Addresses

Primary practice location

6103 Strickland Ave Ste D
Brooklyn, NY 11234-6408

Mailing address

6103 Strickland Ave Ste D
Brooklyn, NY 11234-6408
Phone (888) 826-3349

Other practice location 1

1064 Bay Ridge Ave
Brooklyn, NY 11219-6009
Phone (516) 306-8986

Other identifiers 1

IdentifierTypeStateIssuer
BASKM1OtherNYCQ - CERTIFICATE OF QUALITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BASKM1NYMDClinical Laboratory Director (Non-physician)

Practice roles

OrganizationSpecialtyStatusNew patients
Amedix Laboratory CurrentSince Oct 4, 2020 Accepting new patients

Locations

6103 Strickland Ave
Ste D
Brooklyn, NY 11234
Phone (888) 826-3349

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1356948392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 STRICKLAND AVE STE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346408",
            "telephone_number": "888-826-3349",
            "fax_number": "844-628-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6103 STRICKLAND AVE STE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346408",
            "telephone_number": "888-826-3349",
            "fax_number": "844-628-5009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1064 Bay Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112196009",
            "country_code": "US",
            "telephone_number": "516-306-8986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASKHAROUN-GUIRGUIS",
        "first_name": "MAGDA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PD.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NY",
            "license": "BASKM1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CQ - CERTIFICATE OF QUALITY",
            "identifier": "BASKM1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.