Physician Compare National (NPI:1699295501)

HEALTHCARE PROVIDER: FARHAN AYOUB MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1699295501
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6305269838
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200701000035
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AYOUB
	Individual professional last name
Provider First Name	FARHAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ST JOSEPHS HEALTHCARE INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9739171984
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	182
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	502 HAMBURG TPKE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 108
	Group Practice or individual's line 2 address
City	WAYNE
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	074708446
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9739425224
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y