Active NPI
Ayesha Ghaffar, PA
- Physician Assistant
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 021028
- Practice address
- 355 Bard Ave
Staten Island, NY 10310-1664 - Phone
- (718) 818-1234
- NPI assigned
- Jun 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 25MP00704000 | NJ | |
| Emergency Medicine Physician | 207P00000X | 021028 | NY | |
| Physician Assistant | 363A00000X | 65680 | CA | |
| Physician Assistant | 363A00000X | 021028 | NY | Primary |
Addresses
Primary practice location
355 Bard Ave
Staten Island, NY 10310-1664
Mailing address
498 Collfield Ave
Staten Island, NY 10314-6832
Other practice location 1
2740 Fulton Ave Ste 220
Sacramento, CA 95821-5186
Phone (908) 663-2929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
190 Edward PL
North Plainfield, NJ 07060-4459
Phone (908) 663-2929
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021028 | NY | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stationmd California PC | Emergency Medicine | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Stationmd Professional Corporation | Current | Accepting new patients |
Locations
2740 Fulton Ave
Ste 220
Sacramento, CA 95821
Phone (877) 782-8637
515 Valley St
Ste 203
Maplewood, NJ 07040
Phone 9086632929800
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
Interoperability endpoints
- aghaffar517579@direct.ahsys.org
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Sacramento, CA
- NPI 1023831922
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Urgent Care Clinic/Center
- Rockville Centre, NY
- NPI 1679970891
-
- Urgent Care Clinic/Center
- Jericho, NY
- NPI 1285975797
-
- Urgent Care Clinic/Center
- Woodmere, NY
- NPI 1174194856
-
- Nephrology Physician
- New York, NY
- NPI 1679947162
-
- Emergency Medicine Physician
- Freehold, NJ
- NPI 1649541087
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Specialist
- Maplewood, NJ
- NPI 1821837337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1306367263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498 COLLFIELD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 BARD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103101664",
"telephone_number": "718-818-1234"
}
],
"practiceLocations": [
{
"address_1": "2740 Fulton Ave Ste 220",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958215186",
"country_code": "US",
"telephone_number": "908-663-2929",
"fax_number": "908-934-9564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHAFFAR",
"first_name": "AYESHA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00704000",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "021028",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "65680",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "021028",
"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 May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.