Individual provider

Sonia Guirguis, M.D.

Allergy & Immunology Physician Medicare enrolled

Sonia Guirguis, M.D. is an Allergy & Immunology Physician in Freehold, NJ, registered under NPI 1215968136. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 222 SCHANCK RD STE 203, Freehold, NJ 07728. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

222 SCHANCK RD STE 203, Freehold, NJ 07728 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
25MA05669900 NJ Allergy & Immunology Physician primary

This provider holds licence 25MA05669900 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Allergy/immunology
PAC ID
3375619174

Medicare enrolment is recorded as approved under the provider type Practitioner - Allergy/immunology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Allergy & Immunology covers

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. NUCC Health Care Provider Taxonomy, code 207K00000X
Allopathic & Osteopathic Physicians Allergy & Immunology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1215968136 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 6, 2006
Last updatedJun 16, 2018
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 222 SCHANCK RD STE 203
Freehold, NJ 07728
(732) 431-8266
Fax (732) 294-9794
Other identifiers 04540552 · AMERIGROUP (NJ)
1215968136 · US FAMILY HEALTH (NJ)
5540280 · AETNA PPO (NJ)
60206596 · HORIZON NJ HEALTH (NJ)
7129055 · AETNA HMO (NJ)
6322701 (NJ)
1215968136 · TRICARE HEALTHNET FEDERAL SERVICES (NJ)
7N2932 · EMPIRE BC (NJ)
111742 · CHN (NJ)
1215968136 · UNITED HEALTHCARE (NJ)
5428754 · EMBLEM HEALTH GHI (NJ)
1215968136 · HBCBS (NJ)
1215968136 · WELLCARE (NJ)
1215968136 · AMERIHEALTH (NJ)
7N2931 · EMPIRE BC (NJ)
P5627313 · UHC OXFORD (NJ)
1215968136 · QUALCARE (NJ)
1791946 · CIGNA (NJ)
This record was last updated on Jun 16, 2018, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1215968136 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 1 5 9 6 8 1 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 2 5 9 6 7 1 6

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1215968136?
NPI 1215968136 is the National Provider Identifier assigned to Sonia Guirguis, M.D. in Freehold, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Allergy & Immunology Physician cover?
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency…
How do I contact Sonia Guirguis, M.D.?
The phone number on file with NPPES is (732) 431-8266, last updated Jun 16, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Sonia Guirguis, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1215968136 a valid number?
Yes. 1215968136 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.