Active NPI
Ayman Roushdy Farag, MD
- Interventional Pain Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 235487
- Practice address
- 11 Ralph PL Ste 204
Staten Island, NY 10304-4405 - Phone
- (347) 286-0741
- Fax
- (347) 286-0741
- NPI assigned
- Oct 5, 2006
- Last updated
- Mar 6, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 235487 | NY | Primary |
| Anesthesiology Physician | 207L00000X | 235487 | NY |
Addresses
Primary practice location
11 Ralph PL Ste 204
Staten Island, NY 10304-4405
Mailing address
80 Marcus Dr
Melville, NY 11747-4230
Phone (631) 391-8366
Other practice location 1
327 Beach 19th St
Dept of Anesthesiology
Far Rockaway, NY 11691-4423
Phone (718) 869-7000
Other practice location 2
1577 Fulton St
Brooklyn, NY 11213-1125
Phone (347) 915-1411
Other practice location 3
3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (718) 253-9355
Other practice location 4
5091 Amboy Rd
Staten Island, NY 10312-4722
Phone (347) 286-0741
Other practice location 5
933 Bay Ridge Ave
Brooklyn, NY 11219-5835
Phone (718) 682-3390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Ralph PL
Suite 204
Staten Island, NY 10304-4405
Phone (347) 286-0741
1765 E 19TH St
Brooklyn, NY 11229-2233
Phone (646) 620-6485
1797 Pitkin Ave
Suite 2
Brooklyn, NY 11212-7844
Phone (718) 971-1944
3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (718) 434-0711
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (718) 867-7000
5091 Amboy Rd
Staten Island, NY 10312-4722
Phone (646) 620-6485
6254 97TH PL
Rego Park, NY 11374-1346
Phone (718) 271-9900
856 Dekalb Ave
Brooklyn, NY 11221-1402
Phone (347) 286-0741
933 Bay Ridge Ave
Brooklyn, NY 11219-5835
Phone (718) 682-3390
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Well Primary Health Care Center, LLC | Current | Accepting new patients | |
| Consultants in Urology PC | Current | Accepting new patients | |
| Goldstep Ambulatory Surgery Center, LLC | Anesthesiology | Current | Accepting new patients |
| PPG Anesthesia, PLLC | Anesthesiology | Current | Accepting new patients |
| Jal 28 LLC | Past | Accepting new patients | |
| NA Ma Ophthalmology PLLC | Past | Accepting new patients | |
| Doral Pharmacy LLC | Past | Accepting new patients | |
| CXC Physician, P.C. | Anesthesiology | Past | Accepting new patients |
| Physicians Choice Surgicenter Inc | Past | Accepting new patients | |
| Mermaid Management Inc | Past | Accepting new patients |
Locations
2932 State Route 10
Morris Plains, NJ 07950
Phone (315) 797-1340
46 W Oak St
Amityville, NY 11701
Phone (718) 670-5631
1577 Fulton St
Brooklyn, NY 11213
Phone (347) 915-1411
2060 Utica Ave
Brooklyn, NY 11234
Phone (718) 676-5309
2269 Ocean Ave
Brooklyn, NY 11229
Phone (718) 339-8200
3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177
3007 Farragut Rd
Fl 5
Brooklyn, NY 11210
Phone (347) 915-1150
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
8212 151st Ave
#12
Howard Beach, NY 11414
Phone (718) 322-9800
2454 Hylan Blvd
Staten Island, NY 10306
Phone (718) 233-1300
4143 Hylan Blvd
Staten Island, NY 10308
Phone (718) 233-1300
5091 Amboy Rd
Staten Island, NY 10312
Phone (718) 948-0221
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- ayman.farag@dmmsfl.eclinicaldirectplus.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Staten Island, NY
- NPI 1740430727
-
- Pain Medicine (Anesthesiology) Physician
- Staten Island, NY
- NPI 1518199264
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1083623409
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1144693607
-
- Specialist
- Staten Island, NY
- NPI 1295713931
-
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
- NPI 1689059222
Anesthesiology
-
- Anesthesiology Physician
- Glen Head, NY
- NPI 1598703266
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1558051482
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1962793273
-
- Ophthalmologic Surgery Clinic/Center
- Great Neck, NY
- NPI 1396023891
-
- Ambulatory Surgical Clinic/Center
- Howard Beach, NY
- NPI 1730301284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1699861567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 MARCUS DR",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474230",
"telephone_number": "631-391-8366",
"fax_number": "631-454-4161"
},
{
"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": "347-286-0741"
}
],
"practiceLocations": [
{
"address_1": "327 Beach 19th St",
"address_2": "Dept of Anesthesiology",
"address_purpose": "LOCATION",
"city": "Far Rockaway",
"state": "NY",
"postal_code": "116914423",
"country_code": "US",
"telephone_number": "718-869-7000",
"fax_number": "718-869-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1577 Fulton St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112131125",
"country_code": "US",
"telephone_number": "347-915-1411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3007 Farragut Rd",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112101537",
"country_code": "US",
"telephone_number": "718-253-9355",
"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"
}
],
"basic": {
"last_name": "FARAG",
"first_name": "AYMAN",
"middle_name": "ROUSHDY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NY",
"license": "235487",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "235487",
"primary": false
}
],
"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 Mar 6, 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.