Provider Demographics
NPI:1134109895
Name:GIRGIS, IHAB (MD)
Entity Type:Individual
Prefix:
First Name:IHAB
Middle Name:
Last Name:GIRGIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 STATE ROUTE 33
Mailing Address - Street 2:SUITE 4B
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4860
Mailing Address - Country:US
Mailing Address - Phone:732-776-8500
Mailing Address - Fax:732-988-2347
Practice Address - Street 1:1820 STATE ROUTE 33
Practice Address - Street 2:SUITE 4B
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4860
Practice Address - Country:US
Practice Address - Phone:732-776-8500
Practice Address - Fax:732-988-2347
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06554800207RC0001X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223247181OtherHORIZON BCBS
NJ0012200OtherTRICARE
NJ0463443000OtherAMERIHEALTH
84K61OtherEMPIRE BLUE CROSS
P886234OtherOXFORD
223247181005OtherQUALCARE
NJ7340605Medicaid
865232OtherAETNA HMO
0005495537OtherAETNA
060044782OtherRAILROAD MEDICARE
2088200OtherUNITED HEALTHCARE
0K5700OtherHEALTHNET
5714322OtherGHI
NJ8240306005OtherCIGNA
NJ7340605Medicaid
2088200OtherUNITED HEALTHCARE