Individual provider Active NPI

Amr Shayeb, M.D

  • Obstetrics & Gynecology Physician
  • Ridgewood, NY
National Provider Identifier
1790922136
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
003649 Issued in NY
Practice address
6852 Fresh Pond Rd
Lower Level
Ridgewood, NY 11385-5230
Phone
(718) 497-3045
Fax
(718) 497-3126
NPI assigned
Jan 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 003649 NY Primary

Addresses

Primary practice location

6852 Fresh Pond Rd
Lower Level
Ridgewood, NY 11385-5230

Mailing address

6852 Fresh Pond Rd LL
Ridgewood, NY 11385-5230
Phone (718) 497-3045

Other practice location 1

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 497-3045

Other practice location 2

311 Saint Nicholas Ave
Ridgewood, NY 11385-2296
Phone (718) 497-3045

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
I20110105000319 NY Practitioner - Obstetrics/Gynecology 3274722376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Augury for Women'S Health Medical PLLCGroup PAC ID 0648597062, 3 clinicians

Practice addresses (Care Compare)

6852 Fresh Pond Rd
Lowr Level
Ridgewood, NY 11385-5230
Phone (718) 497-3045

Hospital & facility affiliations

  • Wyckoff Heights Medical Center Hospital, Brooklyn, NY, CCN 330221

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Professional Medical Services, PC Obstetrics & Gynecology CurrentSince Feb 13, 2018 Accepting new patients
The Augury for Women'S Health Medical PLLC Obstetrics & Gynecology CurrentSince May 1, 2015 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients

Locations

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

1419 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 455-4909

110 Wyckoff Ave
Brooklyn, NY 11237
Phone (718) 486-4155

7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400

6852 Fresh Pond Rd
Lowr
Ridgewood, NY 11385
Phone (718) 497-3045

6852 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 381-7016

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: amrshayeb@whmc.allscriptsdirect.net

Organizations & group practices 3

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.

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": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1790922136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6852 FRESH POND RD LL",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855230",
            "telephone_number": "718-497-3045",
            "fax_number": "718-497-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6852 FRESH POND RD",
            "address_2": "LOWER LEVEL",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855230",
            "telephone_number": "718-497-3045",
            "fax_number": "718-497-3126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 Stockholm St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112374006",
            "country_code": "US",
            "telephone_number": "718-497-3045",
            "fax_number": "718-497-3126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 Saint Nicholas Ave",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113852296",
            "country_code": "US",
            "telephone_number": "718-497-3045",
            "fax_number": "718-497-3126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAYEB",
        "first_name": "AMR",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-07",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "003649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

Verify at the official NPI Registry.