Active NPI
Gihan Makram Elmeniawy-Farag, MD, PC
- Internal Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 236523
- Legal business name
- GIHAN MAKRAM ELMENIAWY-FARAG, MD, PC
- Practice address
- 5091 Amboy Rd
Staten Island, NY 10312-4722 - Phone
- (718) 948-6621
- Fax
- (718) 948-1787
- NPI assigned
- Mar 6, 2012
- Last updated
- Mar 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gihan Elmeniawy-Farag, MD
- Title
- Owner
- Phone
- (718) 948-6621
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 236523 | NY | Primary |
Addresses
Primary practice location
5091 Amboy Rd
Staten Island, NY 10312-4722
Mailing address
5091 Amboy Rd
Staten Island, NY 10312-4722
Phone (718) 948-6621
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2002173 | Gihan Elmeniawy-Farag, MD | Certificate of waiver | Jan 7, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1245205855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330992000000",
"number": "1588938708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5091 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103124722",
"telephone_number": "718-948-6621",
"fax_number": "718-948-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5091 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103124722",
"telephone_number": "718-948-6621",
"fax_number": "718-948-1787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIHAN MAKRAM ELMENIAWY-FARAG, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-06",
"last_updated": "2012-03-06",
"status": "A",
"authorized_official_last_name": "ELMENIAWY-FARAG",
"authorized_official_first_name": "GIHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-948-6621",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "236523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.