Active NPI
Michel Bibawy, MD
- Anesthesiology Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 202246
- Practice address
- 5091 Amboy Rd
Staten Island, NY 10312 - Phone
- (718) 948-0221
- NPI assigned
- Sep 21, 2006
- Last updated
- Feb 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 202246 | NY | Primary |
Addresses
Primary practice location
5091 Amboy Rd
Staten Island, NY 10312
Mailing address
PO Box 270
Massapequa Park, NY 11762-0270
Phone (631) 264-2030
Other practice location 1
One Clara Maass Dr
Belleville, NJ 07109
Phone (908) 653-9399 ext. 115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8757208 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1765 E 19TH St
Brooklyn, NY 11229-2233
Phone (646) 620-6485
5091 Amboy Rd
Staten Island, NY 10312-4722
Phone (646) 620-6485
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Urology PC | Current | Accepting new patients | |
| PPG Anesthesia, PLLC | Anesthesiology | Current | Accepting new patients |
| Physicians Choice Surgicenter Inc | Past | Accepting new patients | |
| Anesthesia Associates of NJ LLC | Anesthesiology | Past | Accepting new patients |
Locations
2932 State Route 10
Morris Plains, NJ 07950
Phone (315) 797-1340
46 W Oak St
Amityville, NY 11701
Phone (718) 670-5631
2269 Ocean Ave
Brooklyn, NY 11229
Phone (718) 339-8200
8212 151st Ave
#12
Howard Beach, NY 11414
Phone (718) 322-9800
2454 Hylan Blvd
Staten Island, NY 10306
Phone (718) 233-1300
4143 Hylan Blvd
Staten Island, NY 10308
Phone (718) 233-1300
5091 Amboy Rd
Staten Island, NY 10312
Phone (718) 948-0221
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Staten Island, NY
- NPI 1740430727
-
- Specialist
- Staten Island, NY
- NPI 1295713931
-
- Ambulatory Surgical Clinic/Center
- Howard Beach, NY
- NPI 1730301284
-
- Anesthesiology Physician
- Belleville, NJ
- NPI 1982711032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1922107804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117620270",
"telephone_number": "631-264-2030",
"fax_number": "631-264-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5091 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10312",
"telephone_number": "718-948-0221"
}
],
"practiceLocations": [
{
"address_1": "One Clara Maass Dr",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "NJ",
"postal_code": "07109",
"country_code": "US",
"telephone_number": "908-653-9399 x115",
"fax_number": "908-653-9305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIBAWY",
"first_name": "MICHEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "202246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8757208",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.