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
- 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061228000160 | NY | Practitioner - Anesthesiology | 5193725042 |
Reassigns benefits to 6 organizations Practice locations: Staten Island, NY |
| I20090526000156 | NJ | Practitioner - Anesthesiology | 5193725042 |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acute and Chronic Pain Management and MedicinePPG Anesthesia PLLCDoral Medical and Multi Specialty Facility LLCBe Well Primary Health Care Center LLC
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
- St John'S Episcopal Hospital at South Shore
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235487 | NY | MD | Interventional Pain Medicine Physician |
Practice roles (10 of 14)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PPG Anesthesia, PLLC | Anesthesiology | Current | Accepting new patients |
| Goldstep Ambulatory Surgery Center, LLC | Anesthesiology | Current | Accepting new patients |
| Be Well Primary Health Care Center, LLC | Current | Accepting new patients | |
| Consultants in Urology PC | Current | Accepting new patients | |
| Physicians Choice Surgicenter Inc | Past | Accepting new patients | |
| Jal 28 LLC | Past | Accepting new patients | |
| Doral Pharmacy LLC | Past | Accepting new patients | |
| Mermaid Management Inc | Past | Accepting new patients | |
| CXC Physician, P.C. | Anesthesiology | Past | Accepting new patients |
| NA Ma Ophthalmology PLLC | 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
3007 Farragut Rd
Fl 5
Brooklyn, NY 11210
Phone (347) 915-1150
2060 Utica Ave
Brooklyn, NY 11234
Phone (718) 676-5309
2269 Ocean Ave
Brooklyn, NY 11229
Phone (718) 339-8200
1577 Fulton St
Brooklyn, NY 11213
Phone (347) 915-1411
3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177
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 H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
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 and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Staten Island, NY
- NPI 1518199264
NY
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1083623409
NY
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1144693607
NY
-
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
- NPI 1689059222
Anesthesiology, NY
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1558051482
-
- Clinic/Center
- Brooklyn, NY
- NPI 1063278281
-
- 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.