Individual provider Active NPI

Amr Ahmad Muhammed El Sandouby, M.D.

  • Anesthesiology Physician
  • Bronx, NY
National Provider Identifier
1104828193
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
219265 Issued in NY
Practice address
3432 E Tremont Ave FRNT 5
Bronx, NY 10465-2033
Phone
(917) 578-7376
Fax
(718) 822-7400
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 219265 NY
Anesthesiology Physician 207L00000X 219265 NY Primary

Addresses

Primary practice location

3432 E Tremont Ave FRNT 5
Bronx, NY 10465-2033

Mailing address

3432 E Tremont Ave FRNT 5
Bronx, NY 10465-2033
Phone (917) 578-7376

Other practice location 1

515 Main St
Olean, NY 14760-1513
Phone (716) 373-2600

Other identifiers 1

IdentifierTypeStateIssuer
02105773MedicaidNY

Other names 1

  • Amr A Sanduby Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090223000255 NY Practitioner - AnesthesiologyPractitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 4082779236 Reassigns benefits to 8 organizations
I20240226004228 NJ Practitioner - Anesthesiology 4082779236 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians
St Marys General Medical Group PCGroup PAC ID 5496112476, 73 clinicians

Practice addresses (Care Compare)

250 Old Hook Rd
Westwood, NJ 07675-3123
Phone (201) 880-2700

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

Hospital & facility affiliations

  • St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Consultant of Brooklyn, P.C. CurrentSince Jan 28, 2019 Accepting new patients
Harlem Medical Associates PC CurrentSince Oct 21, 2020 Accepting new patients
St Marys General Medical Group PC CurrentSince May 1, 2024 Accepting new patients
Upstate Anesthesia Services, P.C. Anesthesiology CurrentSince Jan 22, 2020 Accepting new patients
Triborough Gi PLLC CurrentSince Jun 26, 2019 Accepting new patients
Prime Healthcare Services - St. Mary'S Passaic LLC CurrentSince Jan 15, 2024 Accepting new patients
Triborough Gi PLLC CurrentSince Jun 26, 2019 Accepting new patients
Bay Ridge Endoscopy Services PLLC Anesthesiology CurrentSince Mar 16, 2019 Accepting new patients
Gastrointestinal and Liver Disease Specialists, LLP CurrentSince Aug 18, 2023 Accepting new patients
Prime Healthcare Services - St. Mary'S Passaic, LLC CurrentSince Jan 15, 2024 Accepting new patients
Anesthesia Associates of Bay Ridge, LLP Anesthesiology Past Accepting new patients
Kao Physician Medical PC Past Accepting new patients
Red Shirt Medical Associates, PC Anesthesiology Past Accepting new patients
Meadowbrook Medical Associates Anesthesiology Past Accepting new patients

Locations

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

983 51st St
Brooklyn, NY 11219
Phone (718) 435-4944

1672 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (718) 795-2734

237 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 748-7100

560 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 748-5219

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1104828193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 E TREMONT AVE FRNT 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652033",
            "telephone_number": "917-578-7376",
            "fax_number": "718-822-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 E TREMONT AVE FRNT 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652033",
            "telephone_number": "917-578-7376",
            "fax_number": "718-822-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Main St",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147601513",
            "country_code": "US",
            "telephone_number": "716-373-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUHAMMED EL SANDOUBY",
        "first_name": "AMR",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "219265",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "219265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02105773",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMR",
            "last_name": "SANDUBY",
            "middle_name": "A",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.