North Jersey Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA07752000 Issued in NJ

Legal business name

NORTH JERSEY INTERNAL MEDICINE PC

Practice address

92 Summit Ave
Hackensack, NJ 07601-1263

Phone

(201) 342-0066

Fax

(201) 342-0079

NPI assigned

Sep 23, 2006

Last updated

Feb 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ehab Ibrahim, M.DNPI 1942395108

Title

Owner

Phone

(201) 342-0066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ehab Fawzy Ibrahim, MD

  • Internal Medicine Physician
  • Hackensack, NJ
  • NPI 1942395108
  Medicare reassignment NPD Authorized official
• Marion Y Bobb-McKoy, MD

  • Family Medicine Physician
  • Hackensack, NJ
  • NPI 1184709206
  Medicare reassignment NPD
• Maria Esther Fuentes, AGNP-C

  • Nurse Practitioner
  • Paterson, NJ
  • NPI 1497394605
  Medicare reassignment NPD
• Lisa Marie Koumoulos, APN

  • Adult Health Nurse Practitioner
  • Hackensack, NJ
  • NPI 1700482866
  Medicare reassignment NPD
• Cristina Maria Maiorana

  • Primary Care Nurse Practitioner
  • Warren, NJ
  • NPI 1386313070
  Medicare reassignment NPD
• Kimberly J Perdomo, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Hackensack, NJ
  • NPI 1861068827

  Single Specialty

  Medicare reassignment NPD
• Veronica Maria Roupenian, APN

  • Nurse Practitioner
  • Hackensack, NJ
  • NPI 1518410349
  Medicare reassignment NPD
• Ewa Slaby, APN

  • Family Nurse Practitioner
  • Clifton, NJ
  • NPI 1407420581
  Medicare reassignment NPD
• Krysten Wondrack, NP

  • Family Nurse Practitioner
  • Hackensack, NJ
  • NPI 1508324575
  Medicare reassignment NPD
• Lane R Kocovsky, FNP

  • Family Nurse Practitioner
  • Coon Rapids, MN
  • NPI 1912579996

  NJ

  Medicare reassignment NPD
• Morris Samuel Friedman, DO

  • Internal Medicine Physician
  • Hackensack, NJ
  • NPI 1013968783
  NPD (past)
• Samuel Suede, M.D.

  • Cardiovascular Disease Physician
  • Englewood, NJ
  • NPI 1164503116
  NPD (past)

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1114027885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011263",
            "telephone_number": "201-342-0066",
            "fax_number": "201-342-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011263",
            "telephone_number": "201-342-0066",
            "fax_number": "201-342-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "EHAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-342-0066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA07752000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Jersey Ambulatory Surgery Center, LLC
• North Jersey Comprehensive Surgical Group LLC
• North Jersey Friendship House, Inc
• North Jersey Friendship House, Inc
• North Jersey Friendship House, Inc
• North Jersey Trauma & Critical Care Associates, LLC
• Northeast Occupational Audiology Associates LLC
• Northern New Jersey Pulmonary Associates PC
• Northland Hearing Center, Inc. (Audibel Hearing Center)
• Jennifer Northridge, M.D.

• Internal Medicine Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.