Individual provider Active NPI

Ammar Mahmoud, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1720374986
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
NA Issued in ZZ
Practice address
590 5TH Ave FL 17
New York, NY 10036-4702
Phone
(347) 881-6191
NPI assigned
Jun 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NA ZZ Primary

Addresses

Primary practice location

590 5TH Ave FL 17
New York, NY 10036-4702

Mailing address

590 5TH Ave FL 17
New York, NY 10036-4702
Phone (347) 881-6191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170420000022 NY Practitioner - Obstetrics/Gynecology 4981980372 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Perinatology PLLC CurrentSince Apr 10, 2017 Accepting new patients
Bethpage Medical, PLLC Obstetrics & Gynecology CurrentSince Apr 10, 2017 Accepting new patients
Ammar Mahmoud MD PC CurrentSince Feb 9, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Apr 7, 2019 Accepting new patients
North Shore-Lij Medical PC Obstetrics & Gynecology CurrentSince Apr 7, 2019 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

200 Garden City Plz
Ste 100
Garden City, NY 11530
Phone (516) 414-6900

600 Northern Blvd
Ste 106
Great Neck, NY 11021
Phone (516) 466-4128

4150 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 393-1000

590 5th Ave
Fl 17
New York, NY 10036
Phone (347) 881-6191

220 E 63rd St
Lbby J
New York, NY 10065
Phone (212) 308-3088

300 Community Dr
Plandome, NY 11030

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1720374986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 5TH AVE FL 17",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364702",
            "telephone_number": "347-881-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 5TH AVE FL 17",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364702",
            "telephone_number": "347-881-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "AMMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ZZ",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.