NPIMap

Individual provider Active NPI

Joseph G.a. Ibrahim, M.D.

  • Specialist
  • Bayonne, NJ
National Provider Identifier
1225068281
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07777500 Issued in NJ
Practice address
19 E 27TH St
Bayonne, NJ 07002-4608
Phone
(201) 436-0033
Fax
(201) 436-0079
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07777500 NJ Primary

Addresses

Primary practice location

19 E 27TH St
Bayonne, NJ 07002-4608

Mailing address

19 E 27TH St
Bayonne, NJ 07002-4608
Phone (201) 436-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060807000450 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 5799788063 Reassigns benefits to 1 organization
I20150603001571 NY Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 5799788063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Jersey Spine and Pain Institute ,LLCGroup PAC ID 3779688478, 5 clinicians

Practice addresses (Care Compare)

19 E 27TH St
Bayonne, NJ 07002-4608
Phone (201) 436-0033

247 3Rd Ave
New York, NY 10010-7457
Phone (201) 436-0033

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.55 of 100Reported as group
Quality
52.84
Improvement activities
40
Cost
74.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10
Varicose vein removal26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Counseling Medical Center L.L.C. CurrentSince Mar 1, 2007 Accepting new patients
Humc Opco LLC Current Accepting new patients
St. Anthony Medical Lab Current Accepting new patients
New Jersey Spine and Pain Institute LLC CurrentSince Feb 3, 2007 Accepting new patients
Northern NJ Orthopedics Specialist Past Accepting new patients
St Thomas Mediccal Center Past Accepting new patients

Locations

19 E 27th St
Bayonne, NJ 07002
Phone (201) 339-1414

59 Seeley Ave
Kearny, NJ 07032
Phone (201) 428-1040

247 3rd Ave
New York, NY 10010
Phone (212) 228-0471

Interoperability endpoints

  • Direct secure messaging: jibrahim70@njsapi-nj.direct.office.nextgen.com
  • Direct secure messaging: joseph.ibrahim@direct.hobokenumc.md
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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 6

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1225068281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E 27TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024608",
            "telephone_number": "201-436-0033",
            "fax_number": "201-436-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E 27TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024608",
            "telephone_number": "201-436-0033",
            "fax_number": "201-436-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "JOSEPH",
        "middle_name": "G.A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07777500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.