Active NPI
Sherif a. Farag, MD, PC
- Gastroenterology Physician
- Staten Island, NY
National Provider Identifier
1063786283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 213601
- Legal business name
- SHERIF A. FARAG, MD, PC
- Practice address
- 5091 Amboy Rd
Staten Island, NY 10312-4722 - Phone
- (718) 948-0221
- Fax
- (718) 948-1787
- NPI assigned
- Mar 6, 2012
- 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. Sherif A. Farag, MD
- Title
- Owner
- Phone
- (718) 948-0221
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 213601 | NY | Primary |
Addresses
Primary practice location
5091 Amboy Rd
Staten Island, NY 10312-4722
Mailing address
5091 Amboy Rd
Staten Island, NY 10312-4722
Phone (718) 948-0221
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 |
|---|---|---|---|
| 33D1019024 | Sherif a Farag MD PC | Compliance | Mar 16, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Staten Island, NY
- NPI 1861467250
-
- Anatomic Pathology & Clinical Pathology Physician
- Collegeville, PA
- NPI 1750335667
NY
-
- Anatomic Pathology & Clinical Pathology Physician
- Brooklyn, NY
- NPI 1902018161
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1245205855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659744000000",
"number": "1063786283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5091 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103124722",
"telephone_number": "718-948-0221",
"fax_number": "718-948-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5091 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103124722",
"telephone_number": "718-948-0221",
"fax_number": "718-948-1787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERIF A. FARAG, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-06",
"last_updated": "2022-08-06",
"certification_date": "2022-08-06",
"status": "A",
"authorized_official_last_name": "FARAG",
"authorized_official_first_name": "SHERIF",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-948-0221",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "213601",
"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 Aug 6, 2022; 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.