Individual provider Active NPI

Zena Ibrahim

  • Retina Specialist (Ophthalmology) Physician
  • Slingerlands, NY
National Provider Identifier
1205414059
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
337056 Issued in NY
Practice address
1220 New Scotland Rd Ste 201
Slingerlands, NY 12159-9386
Phone
(518) 533-6550
Fax
(518) 533-6556
NPI assigned
Apr 1, 2021
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 337056 NY Primary

Addresses

Primary practice location

1220 New Scotland Rd Ste 201
Slingerlands, NY 12159-9386

Mailing address

47 New Scotland Ave
Dept. of Ophthalmology
Albany, NY 12208

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zibrahim@retconpllc.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250721002112 NY Practitioner - Ophthalmology 3577079227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultant PLLCGroup PAC ID 0345204293, 6 clinicians
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

1220 New Scotland Rd
Suite 201
Slingerlands, NY 12159-9386
Phone (518) 533-6550

185 2ND Ave
Gloversville, NY 12078-2510
Phone (518) 533-6550

391 Myrtle Ave
Albany, NY 12208-3835
Phone (518) 262-5640

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337056NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Jul 7, 2025 Accepting new patients
Albany Medical College CurrentSince Jul 7, 2025 Accepting new patients
Retina Consultant, PLLC Retina Specialist CurrentSince Jul 1, 2025 Accepting new patients
Glaucoma Consultants of the Capital Region,PLLC Retina Specialist PastSince Jun 23, 2025 Accepting new patients
Albany Medical College Past Accepting new patients

Locations

391 Myrtle Ave
Fl 1
Albany, NY 12208
Phone (518) 262-1700

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

1220 New Scotland Rd
Ste 201
Slingerlands, NY 12159
Phone (518) 262-2550

322 Dewey St
Bennington, VT 05201
Phone (802) 447-8700

Interoperability endpoints

  • Direct secure messaging: zibrahim@retconpllc.intellechartdirect.net
  • Direct secure messaging: zibrahim25626@albanymed.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1205414059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "DEPT. OF OPHTHALMOLOGY",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 NEW SCOTLAND RD STE 201",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599386",
            "telephone_number": "518-533-6550",
            "fax_number": "518-533-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "ZENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "337056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zibrahim@retconpllc.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1220 New Scotland Rd Ste 201",
            "city": "Slingerlands",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121599386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Slingerlands, NY

Sources for this page

Verify at the official NPI Registry.