Individual provider Active NPI

Moris Girgis, M.D.

  • Family Medicine Physician
  • South River, NJ
National Provider Identifier
1699761502
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA07251000 Issued in NJ
Practice address
171 Main St
South River, NJ 08882-1500
Phone
(732) 254-9494
Fax
(732) 254-9903
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA07251000 NJ Primary

Addresses

Primary practice location

171 Main St
South River, NJ 08882-1500

Mailing address

171 Main St
South River, NJ 08882-1500
Phone (732) 254-9494

Other identifiers 1

IdentifierTypeStateIssuer
0126282MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070511000175 NJ Practitioner - Family Practice 7618964131 Reassigns benefits to 1 organization
I20171005003739 CA Practitioner - Family Practice 7618964131 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07251000NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Aug 21, 2017 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Girgis Family Practice Family Medicine CurrentSince Jan 1, 2007 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Aug 21, 2017 Accepting new patients
Family Healthcare Network Current Accepting new patients
Alternative Medical Pain Doctors Past Accepting new patients
Girgis Family Practice Family Medicine PastSince Jan 1, 2001 Accepting new patients

Locations

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

201 E Lakeview Ave
Woodlake, CA 93286
Phone (559) 564-0100

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

123 Main St
South River, NJ 08882
Phone (732) 254-3892

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA

Organizations & group practices 11

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.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Girgis Family Practice 2 clinicians

Practice addresses (Care Compare)

123 Main St
South River, NJ 08882-1231
Phone (732) 254-9494

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1699761502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088821500",
            "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",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088821500",
            "telephone_number": "732-254-9494",
            "fax_number": "732-254-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRGIS",
        "first_name": "MORIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07251000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126282",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South River, NJ

Sources for this page

Verify at the official NPI Registry.