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

Faiz Abed

Individual provider Surgical Physician Assistant · NPI 1053933143

Faiz Abed is a Physician Assistant in Staten Island, New York. Qualified in 2020, 6 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020

Practice location Address checks out

1 Campus Rd
Staten Island, NY 10301-4495
Phone: (718) 619-1995
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 025243 (NY)

Record details

NPI number1053933143
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 12, 2020
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020
Mailing address512 Valleyview Pl, Staten Island, NY 10314-5535

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Staten Island