Organization Active NPI

Ihab Ibrahim Medical PC

  • Child & Adolescent Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1023435617
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
262429 Issued in NY
Legal business name
IHAB IBRAHIM MEDICAL PC
Practice address
6805 5TH Ave
Brooklyn, NY 11220-6009
Phone
(718) 833-7466
NPI assigned
Mar 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Dr. Ihab I Ibrahim, MD
Title
Psychiatrist
Phone
(646) 288-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X 262429 NY Primary

Addresses

Primary practice location

6805 5TH Ave
Brooklyn, NY 11220-6009

Mailing address

8701 Shore Rd Apt 637
Brooklyn, NY 11209-4239
Phone (646) 288-2004

National Provider Directory

National Provider Directory

Locations

466 Bay Ridge Ave
Brooklyn, NY 11220
Phone (718) 491-2007

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1023435617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 SHORE RD APT 637",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094239",
            "telephone_number": "646-288-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112206009",
            "telephone_number": "718-833-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHAB IBRAHIM MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "IHAB",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "646-288-2004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "262429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.