Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ayesha Ghaffar, PA

Individual provider Physician Assistant · NPI 1306367263

Ayesha Ghaffar, PA is a Physician Assistant in Staten Island, New York. Qualified in 2017, 9 years ago. Practices with Stationmd Professional Corporation, a 62-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California, New Jersey and New York.

Years since qualifying
9
Licensed in
CA, NJ, NY
In the registry since
2017
Specialties on file
5
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

355 Bard Ave
Staten Island, NY 10310-1664
Phone: (718) 818-1234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2740 Fulton Ave Ste 220, Sacramento, CA 95821-5186 — (908) 663-2929

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 021028 (NY)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 25MP00704000 (NJ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 021028 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 65680 (CA)

Record details

NPI number1306367263
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 30, 2017
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Stationmd Professional Corporation — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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