Wagdy M Habashy MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0362631 Issued in CT

Legal business name

WAGDY M HABASHY MD LLC

Practice address

31 Dow Rd
Plainfield, CT 06374-1800

Phone

(860) 564-6296

Fax

(860) 230-0446

NPI assigned

Jan 4, 2012

Last updated

Jan 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wagdy Mourin Habashy, MDNPI 1508875451

Title

Owner

Phone

(860) 564-6296

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

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.

• Wagdy M Habashy, MD

  • Internal Medicine Physician
  • Plainfield, CT
  • NPI 1508875451
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1487924759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 DOW RD",
            "city": "PLAINFIELD",
            "state": "CT",
            "postal_code": "063741800",
            "telephone_number": "860-564-6296",
            "fax_number": "860-230-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 DOW RD",
            "city": "PLAINFIELD",
            "state": "CT",
            "postal_code": "063741800",
            "telephone_number": "860-564-6296",
            "fax_number": "860-230-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGDY M HABASHY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "HABASHY",
        "authorized_official_first_name": "WAGDY",
        "authorized_official_middle_name": "MOURIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-564-6296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "0362631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Danielle Mary White, PA-C
• Jennifer Worsman, DC
• Alicia Yanac, DO

• Internal Medicine Physician in Plainfield, CT
• Providers in Plainfield, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.