NPIMap

Organization Active NPI

Wagdy F Girgis MD PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1548457518
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WAGDY F GIRGIS MD PC
Practice address
76 Battery Ave Apt 1
Brooklyn, NY 11228-3555
Phone
(718) 836-5706
Fax
(718) 836-7191
NPI assigned
Oct 3, 2007
Last updated
Sep 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Ms. Maryanne Alessio, R.N.
Title
Office Manager
Phone
(718) 836-5706

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X
Family Medicine Physician 207Q00000X Primary
Cardiovascular Disease Physician 207RC0000X
Neurology Physician 2084N0400X
Vascular Surgery Physician 2086S0129X
Foot Surgery Podiatrist 213ES0131X N006032 NY

Addresses

Primary practice location

76 Battery Ave Apt 1
Brooklyn, NY 11228-3555

Mailing address

76 Battery Ave Apt 1
Brooklyn, NY 11228-3555
Phone (718) 836-5706

Other identifiers 1

IdentifierTypeStateIssuer
01606266MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071219000307 NY Part B Supplier - Clinic/Group Practice 8022108752 Receives reassigned benefits from 13 practitioners
Practice locations: Staten Island, NY; Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0949360Wagdy F Girgis MD76 Battery Avenue, 1St Floor, Brooklyn, NY 11228Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory

Locations

76 Battery Ave
Ste 1
Brooklyn, NY 11228
Phone (718) 836-5706

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1548457518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BATTERY AVE APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283555",
            "telephone_number": "718-836-5706",
            "fax_number": "718-836-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BATTERY AVE APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283555",
            "telephone_number": "718-836-5706",
            "fax_number": "718-836-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGDY F GIRGIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "ALESSIO",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-836-5706",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01606266",
            "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 Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.