Individual provider Active NPI

Ayman Roushdy Farag, MD

  • Interventional Pain Medicine Physician
  • Staten Island, NY
National Provider Identifier
1699861567
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
235487 Issued in NY
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

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061228000160 NY Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 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 Medicine 5 clinicians
PPG Anesthesia PLLC 10 clinicians
Doral Medical and Multi Specialty Facility LLC 53 clinicians
Be Well Primary Health Care Center LLC 44 clinicians

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 Hospital, Far Rockaway, NY, CCN 330395

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235487NYMDInterventional Pain Medicine Physician

Practice roles (10 of 14)

OrganizationSpecialtyStatusNew patients
PPG Anesthesia, PLLC Anesthesiology CurrentSince Mar 15, 2009 Accepting new patients
Goldstep Ambulatory Surgery Center, LLC Anesthesiology CurrentSince Jan 6, 2016 Accepting new patients
Be Well Primary Health Care Center, LLC CurrentSince Jun 12, 2014 Accepting new patients
Consultants in Urology PC CurrentSince Jan 21, 2009 Accepting new patients
Physicians Choice Surgicenter Inc Past Accepting new patients
Jal 28 LLC Past Accepting new patients
Doral Pharmacy LLC PastSince May 19, 2021 Accepting new patients
Mermaid Management Inc PastSince Jul 15, 2019 Accepting new patients
CXC Physician, P.C. Anesthesiology Past Accepting new patients
NA Ma Ophthalmology PLLC PastSince Aug 1, 2011 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.