Individual provider Active NPI

George J Ayyad, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1083659452
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
174696 Issued in NY
Practice address
1800 Clove Rd
Staten Island, NY 10304-1616
Phone
(718) 727-1644
Fax
(718) 727-7365
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Other identifiers 1

IdentifierTypeStateIssuer
01725451MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050825000978 NY Practitioner - Internal Medicine 7113957184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1800 Clove Rd
Staten Island, NY 10304-1600
Phone (718) 727-1644

Hospital & facility affiliations

  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Archcare at Home Home health agency, Valhalla, NY, CCN 337140
  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
George John Ayyad Physician PC Internal Medicine CurrentSince Jan 3, 2000 Accepting new patients

Locations

1800 Clove Rd
Staten Island, NY 10304
Phone (718) 273-2929

Interoperability endpoints

  • Direct secure messaging: george.ayyad.1@29709.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1083659452",
    "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": {
        "last_name": "AYYAD",
        "first_name": "GEORGE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "174696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01725451",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.