Active NPI
Magdy Shaaban Physician PC
- Hematology & Oncology Physician
- Baldwin, NY
National Provider Identifier
1790934784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 183174
- Legal business name
- MAGDY SHAABAN PHYSICIAN PC
- Practice address
- 865 Merrick Rd Ste 303
Baldwin, NY 11510-3338 - Phone
- (516) 223-0700
- Fax
- (516) 223-5347
- NPI assigned
- Sep 15, 2008
- 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. Magdy M Shaaban, MD
- Title
- President
- Phone
- (516) 223-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 183174 | NY | Primary |
Addresses
Primary practice location
865 Merrick Rd Ste 303
Baldwin, NY 11510-3338
Mailing address
865 Merrick Road Suite 303
Baldwin, NY 11510
Phone (516) 223-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01836511 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
865 Merrick Rd
Ste 303
Baldwin, NY 11510
Phone (516) 223-0700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Rome, NY
- NPI 1144812041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221436800000",
"number": "1790934784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 MERRICK ROAD SUITE 303",
"city": "BALDWIN",
"state": "NY",
"postal_code": "11510",
"telephone_number": "516-223-0700",
"fax_number": "516-223-5347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 MERRICK RD STE 303",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103338",
"telephone_number": "516-223-0700",
"fax_number": "516-223-5347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGDY SHAABAN PHYSICIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A",
"authorized_official_last_name": "SHAABAN",
"authorized_official_first_name": "MAGDY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-223-0700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "183174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01836511",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.