Individual provider Active NPI

Ayah Ahamed

  • Optometrist
  • Staten Island, NY
National Provider Identifier
1922597814
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008841 Issued in NY
Practice address
242 Mason Ave Ste 5
Staten Island, NY 10305-3408
Phone
(718) 226-6919
Fax
(718) 226-6197
NPI assigned
May 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008841 NY Primary

Addresses

Primary practice location

242 Mason Ave Ste 5
Staten Island, NY 10305-3408

Mailing address

86 Lyceum CT
Staten Island, NY 10310-2356
Phone (646) 361-4784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180822001510 NY Practitioner - Optometry 2264781301 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008841NYMDPsychologist
TUV008841NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office Optometrist CurrentSince Jul 12, 2018 Accepting new patients
State of New York Comptrollers Office CurrentSince Jul 12, 2018 Accepting new patients
North Shore-Lij Medical PC CurrentSince Nov 5, 2019 Accepting new patients
Physicians of University Hospital, PC PastSince Jul 4, 2021 Accepting new patients

Locations

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

University Eye Ctr
New York, NY 10087

300 Community Dr
Plandome, NY 11030

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

242 Mason Ave
Ste 5
Staten Island, NY 10305
Phone (718) 226-6283

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": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1922597814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 LYCEUM CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102356",
            "telephone_number": "646-361-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MASON AVE STE 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053408",
            "telephone_number": "718-226-6919",
            "fax_number": "718-226-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHAMED",
        "first_name": "AYAH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.