Mary I Ibrahim (NPI# 1801983127, PAC ID# 1759305618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1801983127 |
| PAC ID by PECOS | 1759305618 |
| Professional Enrollment ID | I20060118000459 |
| Full Name | Mary I Ibrahim |
| Address |
130 Bentley Ave Jersey City NJ 07304-1702 |
| Phone Number | 2019185118 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1972 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310074 | JERSEY CITY MEDICAL CENTER |
| 310016 | CAREPOINT HEALTH-CHRIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 130 Bentley Ave, Jersey City, NJ 07304-1702 | 2019185118 |
| Street Address |
130 BENTLEY AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip | 07304-1702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adelia Moustiatse | Internal Medicine | A Progressive Longevity Center LLC | 2555 Jfk Blvd, Jersey City, NJ 07304 |
| Samuel Walters | Internal Medicine | 701 State Rt, 440 Suite 33, Jersey City, NJ 07304-1069 | |
| Ningning He | Pain Management | Advanced Pain Care LLC | 701 Route 440, Suite 33, Jersey City, NJ 07304-1069 |
| Ritu Vyas | Physical Therapy | Hoboken Holistic Physical Therapy and Sports Medicine LLC | 701 State Rt, Suite 21, Jersey City, NJ 07304-1069 |
| Komal A Kachhia | Physical Therapy | Hoboken Holistic Physical Therapy and Sports Medicine LLC | 701 State Rt, Jersey City, NJ 07304-1069 |
| Matthew Morales | Physical Therapy | 438 W Side Ave, Jersey City, NJ 07304-1426 | |
| Homer Adalla | Physical Therapy | 438 W Side Ave, Jersey City, NJ 07304-1426 | |
| Yale C Shulman | Urology | 2255 John F Kennedy Blvd, Jersey City, NJ 07304-1428 | |
| John J Hosay Jr. | Urology | Sovereign Medical Group LLC | 2255 John F Kennedy Blvd, Jersey City, NJ 07304-1428 |
| Ronald Sultan | General Surgery | 2255 John F Kennedy Blvd, Jersey City, NJ 07304-1428 | |
| Find all physicians in zip 07304 | |||
| City | JERSEY CITY |
| Zip Code | 07304 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JERSEY CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mary I Ibrahim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.