Sherine Ibrahim, D.D.S.06

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

038931-1 Issued in NY

Practice address

434 Albee SQ
Brooklyn, NY 11201-5306

Phone

(718) 858-9211

Fax

(516) 822-2396

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1073720181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 PALMER RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083314",
            "telephone_number": "914-961-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 ALBEE SQ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015306",
            "telephone_number": "718-858-9211",
            "fax_number": "516-822-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "SHERINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.06",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038931-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01337324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohamed Moustafa Ibrahim, DPT
• Mona Ibrahim, RPH
• Mudathir Omobonuola Ibrahim, MD
• Nagwa Ibrahim, OD
• Ramez Medhat Sadek Moawad Ibrahim
• Therese Ibrahim
• Zachary H Ibrahim, MD
• Leonora Ibrahimi
• Sabina Ibrahimli, MD
• Ibs Diagnostics & Physical Therapy PC

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.