Active NPI
Ibrahim Salib
- Pharmacist
- Passaic, NJ
National Provider Identifier
1255053138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04233700
- Practice address
- 286-288 Monroe St
Passaic, NJ 07055-5271 - Phone
- (973) 778-4495
- NPI assigned
- Sep 16, 2022
- Last updated
- Mar 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04233700 | NJ | Primary |
Addresses
Primary practice location
286-288 Monroe St
Passaic, NJ 07055-5271
Mailing address
43 W 18TH St
Bayonne, NJ 07002-3607
Phone (201) 423-1754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04233700 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1255053138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 W 18TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023607",
"telephone_number": "201-423-1754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286-288 MONROE ST",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070555271",
"telephone_number": "973-778-4495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALIB",
"first_name": "IBRAHIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-16",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04233700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.