Organization Active NPI

Girgis Family Practice

  • Family Medicine Physician
  • South River, NJ
National Provider Identifier
1467511238
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GIRGIS FAMILY PRACTICE
Practice address
171 Main St
Suite 4
South River, NJ 08882-1500
Phone
(732) 254-9494
Fax
(732) 254-9903
NPI assigned
Dec 7, 2006
Last updated
Apr 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Dr. Moris Beachay Girgis, MDNPI 1699761502
Title
President
Phone
(732) 254-9494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

171 Main St
Suite 4
South River, NJ 08882-1500

Mailing address

PO Box 6779
East Brunswick, NJ 08816-6779
Phone (732) 254-9494

Other identifiers 1

IdentifierTypeStateIssuer
0126314MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070511000162 NJ Part B Supplier - Clinic/Group Practice 7719083583 Receives reassigned benefits from 2 practitioners
Practice locations: South River, NJ

National Provider Directory

National Provider Directory

Locations

171 Main St
South River, NJ 08882
Phone (732) 254-9494

171 Main St
Ste 4
South River, NJ 08882
Phone (732) 254-9494

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1467511238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6779",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088166779",
            "telephone_number": "732-254-9494",
            "fax_number": "732-254-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MAIN ST",
            "address_2": "SUITE 4",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088821500",
            "telephone_number": "732-254-9494",
            "fax_number": "732-254-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIRGIS FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "MORIS",
        "authorized_official_middle_name": "BEACHAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-254-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126314",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.