Individual provider Active NPI

Adel George Ayyad, DPT

  • Specialist
  • Jackson Heights, NY
National Provider Identifier
1740599505
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
029482 Issued in NY
Practice address
8763 83Rd Street
Jackson Heights, NY 11732
Phone
(718) 205-8781
Fax
(347) 527-1218
NPI assigned
Sep 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 029482 NY Primary

Addresses

Primary practice location

8763 83Rd Street
Jackson Heights, NY 11732

Mailing address

93 Beacon Hill Rd
Port Washington, NY 11050-3038
Phone (516) 512-9853

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110617000188 NY Practitioner - Physical Therapist in Private Practice 7517145758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Abraam, LLCGroup PAC ID 6800247172, 2 clinicians

Practice addresses (Care Compare)

1 E Dr
Woodbury, NY 11797-2102
Phone (516) 469-5063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Abraam, LLC CurrentSince Nov 29, 2023 Accepting new patients
Esd PT OT & SLP PLLC CurrentSince Jul 16, 2024 Accepting new patients
Prime Movers Physical Therapy, PLLC Past Accepting new patients
St. Marks Physical Therapy, P.C Past Accepting new patients

Locations

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

Organizations & group practices 4

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": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1740599505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 BEACON HILL RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503038",
            "telephone_number": "516-512-9853",
            "fax_number": "718-775-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8763 83RD STREET",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11732",
            "telephone_number": "718-205-8781",
            "fax_number": "347-527-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYYAD",
        "first_name": "ADEL",
        "middle_name": "GEORGE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "029482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.