Individual provider Active NPI

Amro Abdel Motaal, MD, DO

  • Procedural Dermatology Physician
  • Glen Cove, NY
National Provider Identifier
1679456966
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
249208-01 Issued in NY
Practice address
5 Brewster Street # 2020
Aamotaal@Hotmail.Com
Glen Cove, NY 11542
Phone
(516) 899-7273
NPI assigned
Jul 26, 2025
Last updated
Jul 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 249208-01 NY Primary

Addresses

Primary practice location

5 Brewster Street # 2020
Aamotaal@Hotmail.Com
Glen Cove, NY 11542

Mailing address

5 Brewster Street # 2020
Aamotaal@Hotmail.Com
Glen Cove, NY 11542
Phone (516) 899-7273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
249208-01NYMDProcedural Dermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1753488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1679456966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BREWSTER STREET # 2020",
            "address_2": "AAMOTAAL@HOTMAIL.COM",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-899-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BREWSTER STREET # 2020",
            "address_2": "AAMOTAAL@HOTMAIL.COM",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-899-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL MOTAAL",
        "first_name": "AMRO",
        "name_prefix": "Dr.",
        "credential": "MD, DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-26",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "249208-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.