Fatima Ibrahim, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00627800 Issued in NJ

Practice address

570 Cherry St
Elizabeth, NJ 07208-1748

Phone

(908) 327-7091

NPI assigned

Oct 3, 2016

Last updated

Oct 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Tree Healthcare PAGroup PAC ID 0941695860, 8 clinicians

University HospitalGroup PAC ID 5294636874, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The University Hospital Hospital, Newark, NJ, CCN 310119

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0434.epichosted.com/APIProxyPRD/UHNJ/api/FHIR/R4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oak Tree Healthcare PA

  • Urgent Care Clinic/Center
  • Belleville, NJ
  • NPI 1083368674
  Medicare reassignment Care Compare group NPD
• University Hospital

  • Acute Care Nurse Practitioner
  • Newark, NJ
  • NPI 1023266962
  Medicare reassignment Care Compare group NPD
• Emergency Associates of St Marys LLC

  • Emergency Medicine Physician
  • Passaic, NJ
  • NPI 1477063329
  Medicare reassignment NPD
• Metrodoc Healthcare LLC

  • Primary Care Clinic/Center
  • Perth Amboy, NJ
  • NPI 1215628821
  NPD
• University Hospital

  • Community/Retail Pharmacy
  • Newark, NJ
  • NPI 1306596390
  NPD

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

• University Hospital

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215998323
  Care Compare affiliation

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1174072029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 CHERRY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081748",
            "telephone_number": "908-327-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 CHERRY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081748",
            "telephone_number": "908-327-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "FATIMA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00627800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Kenneth Hudak, MD
• Hudson Premier Healthcare Partners
• Zahid Hussain, M.D.
• Meghan Hyer
• Khadija Ibeh, M.D., M.P.H
• Mariam Ibrahim, PHARMD
• Omar Ibrahim, MD
• Icare Speciality Pharmacy LLC
• Idleness Eliminators
• Nkenna Roseline Ijeh

• Family Nurse Practitioner in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.
• 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.