Individual provider Active NPI

Michel Bibawy, MD

  • Anesthesiology Physician
  • Staten Island, NY
National Provider Identifier
1922107804
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
202246 Issued in NY
Practice address
5091 Amboy Rd
Staten Island, NY 10312
Phone
(718) 948-0221
NPI assigned
Sep 21, 2006
Last updated
Feb 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8757208MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080107000685 NY Practitioner - Anesthesiology 4880612373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PPG Anesthesia PLLCGroup PAC ID 8022165588, 10 clinicians

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

OrganizationSpecialtyStatusNew patients
Consultants in Urology PC CurrentSince Jan 21, 2009 Accepting new patients
PPG Anesthesia, PLLC Anesthesiology CurrentSince Aug 8, 2008 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.

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

Verify at the official NPI Registry.