GEORGE JOHN AYYAD PHYSICIAN PC
NPI 1063682565
Internal Medicine in Staten Island, NY
About George John Ayyad Physician Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGE JOHN AYYAD PHYSICIAN PC (NPI 1063682565) is a healthcare organization registered as an internal medicine in Staten Island, New York and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists George J Ayyad, Owner/operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
George John Ayyad Physician Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to George John Ayyad Physician PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D0927571
George John Ayyad, Physician, PC · Staten Island, NYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is George John Ayyad Physician PC's NPI number?
The NPI number for George John Ayyad Physician PC is 1063682565. It was assigned to this organization in the NPPES registry on March 11, 2008.
Where is George John Ayyad Physician PC located?
George John Ayyad Physician PC is located at 1800 Clove Rd, Staten Island, NY 10304. The listed phone number is (718) 727-1644.
What is George John Ayyad Physician PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is George John Ayyad Physician PC enrolled in Medicare?
Yes. George John Ayyad Physician PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through George John Ayyad Physician PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to George John Ayyad Physician PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does George John Ayyad Physician PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0927571) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for George John Ayyad Physician PC was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# George John Ayyad Physician Pc · NPI 1063682565
Internal Medicine organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since March 11, 2008.
## Identity
- **NPI:** 1063682565 (Entity type: Organization)
- **Enumerated:** March 11, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** George Ayyad, OWNER/OPERATOR
## Practice location
- **Address:** 1800 CLOVE RD, Staten Island, NY 10304-1616
- **Phone:** (718) 727-1644 · **Fax:** (718) 727-7365
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063682565) · Data from the CMS NPPES public registry.