Individual provider Active NPI

Ihab I Ibrahim, MD

  • Child & Adolescent Psychiatry Physician
  • New York, NY
National Provider Identifier
1083876809
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
262429 Issued in NY
Practice address
303 5TH Ave RM 907
New York, NY 10016-6682
Phone
(929) 888-5293
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C7-0003982 DE
Child & Adolescent Psychiatry Physician 2084P0804X 262429 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X C7-0003982 DE
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X C195825 CA

Addresses

Primary practice location

303 5TH Ave RM 907
New York, NY 10016-6682

Mailing address

303 5TH Ave RM 907
New York, NY 10016-6682
Phone (646) 288-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, MA, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20140130001759 NY Practitioner - Psychiatry 9638308240 Reassigns benefits to 9 organizations
I20220420002103 NJ Practitioner - Psychiatry 9638308240 Reassigns benefits to 3 organizations
I20260619000134 MA Practitioner - Psychiatry 9638308240 Reassigns benefits to 1 organization
I20260625002737 CA Practitioner - Psychiatry 9638308240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

234 E 149 St
Bronx, NY 10451-5504
Phone (718) 579-6101

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C195825CAMDPsychiatry Physician
C7-0003982DEMDPsychiatry Physician
262429NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Neurohealth of Ny LLC Single Specialty CurrentSince Mar 12, 2023 Accepting new patients
North Shore-Lij Medical PC Single Specialty CurrentSince Feb 16, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Mar 28, 2020 Accepting new patients
Premier Healthcare, Inc. CurrentSince Nov 21, 2013 Accepting new patients
Physician Affiliate Group of New York PC Single Specialty CurrentSince Jan 4, 2025 Accepting new patients
Premier Healthcare, Inc. Single Specialty CurrentSince Nov 21, 2013 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Mar 28, 2020 Accepting new patients
Peace of Mind Medical LLC Single Specialty CurrentSince May 1, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation Single Specialty CurrentSince Mar 23, 2024 Accepting new patients
Park Slope Center for Mental Health, Inc Single Specialty CurrentSince Jan 8, 2015 Accepting new patients
New York City Health and Hospitals Corporation Single Specialty CurrentSince Mar 23, 2024 Accepting new patients
Downtown Bronx Medical Associates PC Single Specialty CurrentSince Feb 17, 2016 Accepting new patients
The McLean Hospital Corporation Single Specialty Current Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Single Specialty CurrentSince Apr 5, 2022 Accepting new patients
New York City Health and Hospitals Corporation Single Specialty Current Accepting new patients
The McLean Hospital Corporation Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

19 Davis Ave
Fl 9
Neptune, NJ 07753
Phone (732) 897-3640

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

234 E 149th St
Rm 8D200
Bronx, NY 10451

8714 5th Ave
Brooklyn, NY 11209
Phone (718) 630-8600

348 13th St
Ste 203
Brooklyn, NY 11215
Phone (718) 788-5101

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

175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

6805 5th Ave
Brooklyn, NY 11220
Phone (718) 833-7466

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

7559 263rd St
Rm 132
Glen Oaks, NY 11004
Phone (718) 470-8023

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

50 Water St
Fl 3
New York, NY 10004

1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150

303 5th Ave
Rm 907
New York, NY 10016
Phone (212) 254-7390

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

300 Community Dr
Plandome, NY 11030

Networks

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

Interoperability endpoints

  • Direct secure messaging: ibrahim.ihab.mcl@direct.partners.masshiway.net
  • Direct secure messaging: iibrahim1053185@nychhc.direct-ci.com
  • Direct secure messaging: ihab.ibrahim@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1083876809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 907",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166682",
            "telephone_number": "646-288-2004",
            "fax_number": "929-695-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 907",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166682",
            "telephone_number": "929-888-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "IHAB",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C7-0003982",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "262429",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "DE",
            "license": "C7-0003982",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C195825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.