Individual provider Active NPI

Ihab Girgis, LCSW

  • Clinical Social Worker
  • New Hyde Park, NY
National Provider Identifier
1972773273
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075827 Issued in NY
Practice address
210 Ingraham LN
New Hyde Park, NY 11040-4240
Phone
(917) 648-0885
NPI assigned
Mar 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075827 NY Primary

Addresses

Primary practice location

210 Ingraham LN
New Hyde Park, NY 11040-4240

Mailing address

210 Ingraham LN
New Hyde Park, NY 11040-4240
Phone (917) 648-0885

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080618000670 NY Practitioner - Clinical Social Worker 7113098195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1066 Hicksville Rd
North Massapequa, NY 11758-1268
Phone (917) 648-0885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075827NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ihab Girgis, PHD, LCSW, PLLC Clinical CurrentSince Jan 17, 2018 Accepting new patients

Locations

107 Northern Blvd
Ste 202
Great Neck, NY 11021
Phone (516) 674-3772

1066 Hicksville Rd
North Massapequa, NY 11758
Phone (516) 763-3000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1972773273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 INGRAHAM LN",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404240",
            "telephone_number": "917-648-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 INGRAHAM LN",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404240",
            "telephone_number": "917-648-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRGIS",
        "first_name": "IHAB",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.