Enida Ibrahimovic

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Practice address

5548 Bear Rd Apt 14B
North Syracuse, NY 13212-1414

Phone

(315) 807-1767

NPI assigned

Jan 31, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422662400000",
    "number": "1164812954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5548 BEAR RD APT 14B",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121414",
            "telephone_number": "315-807-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5548 BEAR RD APT 14B",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121414",
            "telephone_number": "315-807-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIMOVIC",
        "first_name": "ENIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Andrew Holbok, FNP
• Mary Jane Houghton, OTR
• Roger Donnell Howard, M.S.
• Panna Shmouel Howil, DDS
• Mallorie Humphrey, LMHC
• Hannah Inglish, LMT
• Emily Ann Ippolito, LMSW
• Brian Michael Izzo, LPN
• Daina Wood Jakubowski, OTR
• Nadia Marie James, LICENSE PRACTICAL NU

• Local Education Agency (LEA) in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.