Active NPI
Atef Magdy-Isaac Ibrahim, PHARMACIST
- Pharmacist
- Jersey City, NJ
National Provider Identifier
1013278985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 056599-1
- Practice address
- 69 Bowers St
Jersey City, NJ 07307 - Phone
- (201) 993-7112
- NPI assigned
- Jun 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 056599-1 | NY | Primary |
Addresses
Primary practice location
69 Bowers St
Jersey City, NJ 07307
Mailing address
69 Bowers St
Jersey City, NJ 07307-2037
Phone (201) 993-7112
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056599-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1013278985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 BOWERS ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073072037",
"telephone_number": "201-993-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 BOWERS ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07307",
"telephone_number": "201-993-7112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "ATEF",
"middle_name": "MAGDY-ISAAC",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-06",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "056599-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.