Active NPI
George John Ayyad Physician PC
- Internal Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 174696
- Legal business name
- GEORGE JOHN AYYAD PHYSICIAN PC
- Practice address
- 1800 Clove Rd
Staten Island, NY 10304-1616 - Phone
- (718) 727-1644
- Fax
- (718) 727-7365
- NPI assigned
- Mar 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George J Ayyad, M.D.
- Title
- Owner/Operator
- Phone
- (718) 727-1644
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 174696 | NY | Primary |
Addresses
Primary practice location
1800 Clove Rd
Staten Island, NY 10304-1616
Mailing address
1800 Clove Rd
Staten Island, NY 10304-1616
Phone (718) 727-1644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0927571 | George John Ayyad, Physician, PC | Certificate of waiver | Apr 22, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1083659452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559520000000",
"number": "1063682565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 CLOVE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103041616",
"telephone_number": "718-727-1644",
"fax_number": "718-727-7365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 CLOVE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103041616",
"telephone_number": "718-727-1644",
"fax_number": "718-727-7365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE JOHN AYYAD PHYSICIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-11",
"last_updated": "2019-06-03",
"status": "A",
"authorized_official_last_name": "AYYAD",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "718-727-1644",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "174696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.