Organization Active NPI

Manal Hegazy MD PC

  • Surgery Physician
  • Bay Shore, NY
National Provider Identifier
1760204242
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on May 1, 2025

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

Authorized official

Name
Manal Hegazy, MDNPI 1457380024
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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20241202000725 NY Part B Supplier - Clinic/Group Practice 1951836899 Receives reassigned benefits from 1 practitioner
Practice locations: Bay Shore, NY; Huntington, NY; Smithtown, NY; West Islip, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.