Individual provider Active NPI

Michael Wagdy Girgis, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1699355974
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33041101 Issued in NY
Practice address
76 Battery Ave
Brooklyn, NY 11228-3550
Phone
(718) 836-5706
NPI assigned
Apr 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33041101 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X NJ

Addresses

Primary practice location

76 Battery Ave
Brooklyn, NY 11228-3550

Mailing address

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (908) 788-6100

Other practice location 1

5405 Hylan Blvd
Staten Island, NY 10312-5201
Phone (917) 397-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819001780 NY Practitioner - Family Practice 1850839077 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY; Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wagdy F Girgis MD PCGroup PAC ID 8022108752, 2 clinicians

Practice addresses (Care Compare)

76 Battery Ave
Brooklyn, NY 11228-3550
Phone (718) 836-5607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
330411NYMDRegistered Nurse
33041101NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wagdy F Girgis MD PC Family Medicine CurrentSince Jul 11, 2024 Accepting new patients
Rekinect LLC CurrentSince Jul 7, 2024 Accepting new patients
Specialized Foot and Ankle Care Inc PastSince Aug 13, 2024 Accepting new patients

Locations

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

5405 Hylan Blvd
Ste 1
Staten Island, NY 10312
Phone (718) 948-5475

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1699355974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WESCOTT DR",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224603",
            "telephone_number": "908-788-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BATTERY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283550",
            "telephone_number": "718-836-5706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5405 Hylan Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103125201",
            "country_code": "US",
            "telephone_number": "917-397-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRGIS",
        "first_name": "MICHAEL",
        "middle_name": "WAGDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "33041101",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.