Active NPI
Manal Hegazy MD PC
- Surgery Physician
- Bay Shore, NY
National Provider Identifier
1760204242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MANAL HEGAZY MD PC
- Practice address
- 15 Park Ave Ste 2
Bay Shore, NY 11706-7381 - Phone
- (631) 581-4400
- NPI assigned
- Oct 28, 2024
- 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
- Manal Hegazy, MD
- Title
- Owner
- Phone
- (631) 581-4400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
15 Park Ave Ste 2
Bay Shore, NY 11706-7381
Mailing address
65 Awixa Ave
Bay Shore, NY 11706-8801
Phone (631) 581-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15 Park Ave
Ste 2
Bay Shore, NY 11706
Phone (631) 581-4400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Bay Shore, NY
- NPI 1457380024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746057600000",
"number": "1760204242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 AWIXA AVE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068801",
"telephone_number": "631-581-4400",
"fax_number": "516-517-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PARK AVE STE 2",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117067381",
"telephone_number": "631-581-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANAL HEGAZY MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-28",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A",
"authorized_official_last_name": "HEGAZY",
"authorized_official_first_name": "MANAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-581-4400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.