NPIMap

Individual provider Active NPI

Adel Ibrahim, MD

  • Internal Medicine Physician
  • Lincroft, NJ
National Provider Identifier
1093709529
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05686900 Issued in NJ
Practice address
551 Newman Springs Rd
Lincroft, NJ 07738-1472
Phone
(732) 530-9200
Fax
(732) 530-8820
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05686900 NJ Primary

Addresses

Primary practice location

551 Newman Springs Rd
Lincroft, NJ 07738-1472

Mailing address

551 Newman Springs Rd
Lincroft, NJ 07738-1472
Phone (732) 530-9200

Other identifiers 1

IdentifierTypeStateIssuer
6681905MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000032 NJ Practitioner - Internal MedicinePractitioner - HematologyPractitioner - Hematology/Oncology 2163473695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincroft Medical Associates, LLCGroup PAC ID 6507932282, 2 clinicians

Practice addresses (Care Compare)

551 Newman Springs Rd
Suite a
Lincroft, NJ 07738-1472
Phone (732) 530-9200

Hospital & facility affiliations

  • Hackensack Meridian at Home Monmouth County Home health agency, Neptune, NJ, CCN 317084
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincroft Medical Associates, LLC CurrentSince Dec 1, 2006 Accepting new patients

Locations

654 Newman Springs Rd
Lincroft, NJ 07738
Phone (732) 530-9200

551 Newman Springs Rd
Unit 1
Lincroft, NJ 07738
Phone (732) 530-9200

Organizations & group practices 1

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1093709529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 NEWMAN SPRINGS RD",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381472",
            "telephone_number": "732-530-9200",
            "fax_number": "732-530-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 NEWMAN SPRINGS RD",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381472",
            "telephone_number": "732-530-9200",
            "fax_number": "732-530-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "ADEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05686900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6681905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincroft, NJ

Sources for this page

Verify at the official NPI Registry.