Organization Active NPI

Acute and Chronic Pain Management and Medicine

  • Pain Medicine (Anesthesiology) Physician
  • Staten Island, NY
National Provider Identifier
1518199264
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ACUTE AND CHRONIC PAIN MANAGEMENT AND MEDICINE
Practice address
11 Ralph PL Ste 204
Staten Island, NY 10304-4405
Phone
(347) 286-0741
Fax
(718) 228-9845
NPI assigned
Aug 13, 2009
Last updated
Feb 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Ayman Roushdy Farag, MDNPI 1699861567
Title
Medical Director
Phone
(347) 286-0741

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

11 Ralph PL Ste 204
Staten Island, NY 10304-4405

Mailing address

731 Johnston Ter
Staten Island, NY 10309-3917
Phone (347) 286-0741

Other practice location 1

3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (718) 253-9355

Other practice location 2

5091 Amboy Rd
Staten Island, NY 10312-4722
Phone (347) 286-0741

Other practice location 3

933 Bay Ridge Ave
Brooklyn, NY 11219-5835
Phone (718) 682-3390

Other practice location 4

327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone (718) 869-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091211000602 NY Part B Supplier - Clinic/Group Practice 2668512286 Receives reassigned benefits from 7 practitioners
Practice locations: Staten Island, NY; Glendale, NY; Brooklyn, NY; Far Rockaway, NY

National Provider Directory

National Provider Directory

Locations

331 Knickerbocker Ave
Ste A
Brooklyn, NY 11237
Phone (347) 286-0741

391 Eastern Pkwy
Ste A
Brooklyn, NY 11216
Phone (347) 286-0741

5002 Flatlands Ave
Ste C
Brooklyn, NY 11234
Phone (347) 286-0741

856 DeKalb Ave
Lowr
Brooklyn, NY 11221

856 DeKalb Ave
Ste Ll
Brooklyn, NY 11221
Phone (718) 989-7272

933 Bay Ridge Ave
Brooklyn, NY 11219
Phone (718) 682-3390

9013 Elmhurst Ave
Jackson Heights, NY 11372
Phone (718) 672-2794

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1518199264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 JOHNSTON TER",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093917",
            "telephone_number": "347-286-0741",
            "fax_number": "718-228-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL STE 204",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044405",
            "telephone_number": "347-286-0741",
            "fax_number": "718-228-9845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3007 Farragut Rd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112101537",
            "country_code": "US",
            "telephone_number": "718-253-9355",
            "fax_number": "718-228-9845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5091 Amboy Rd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103124722",
            "country_code": "US",
            "telephone_number": "347-286-0741",
            "fax_number": "718-228-9845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "933 Bay Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112195835",
            "country_code": "US",
            "telephone_number": "718-682-3390",
            "fax_number": "718-228-9845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 Beach 19th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914423",
            "country_code": "US",
            "telephone_number": "718-869-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACUTE AND CHRONIC PAIN MANAGEMENT AND MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "FARAG",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_middle_name": "ROUSHDY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-286-0741",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "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 Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.