WEGDAN ELAZZAWY
NPI 1174752562
Pediatrics in Brooklyn, NY

Q: What is Wegdan Elazzawy's NPI number?

The NPI number for Wegdan Elazzawy is 1174752562. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Q: What is Wegdan Elazzawy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Wegdan Elazzawy was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2009PECOS Enrolled

546 EASTERN PKWY, BROOKLYN, NY 11225(718) 604-4800(718) 604-4828 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2019, Nov 13, 2017, Oct 18, 2016 (3 updates tracked since 2016).

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About Wegdan Elazzawy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEGDAN ELAZZAWY (NPI 1174752562) is an individual pediatrics provider in Brooklyn, New York, licensed in New York (253930-1) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1174752562

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameWEGDAN ELAZZAWY

Location Address546 EASTERN PKWYBrooklyn, NY 11225-1604

Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556

Phone(718) 604-4800

Fax(718) 604-4828

Sole ProprietorNo

Enumeration DateJuly 7, 2009

Last NPPES UpdateOctober 16, 20253 updates tracked since enumeration

NPPES CertifiedOctober 16, 2025

✔ NPI 1174752562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 253930-1

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

546 EASTERN PKWY, Brooklyn, NY 11225

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Secondary Practice Location 1

Location 1233 Nostrand AveBrooklyn, NY 11205-4924 · Phone (718) 826-5900 · Fax (718) 826-5860

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wegdan Elazzawy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLE R BAILEY RN

Registered Nurse (Community Health)