Active NPI
Ayman Ibrahim, M.D.
- Student in an Organized Health Care Education/Training Program
- Elmhurst, NY
National Provider Identifier
1275263188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 79-01 Broadway
Room A7-34
Elmhurst, NY 11373-1329 - Phone
- (718) 334-8000
- Fax
- (718) 334-2862
- NPI assigned
- Jun 14, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
79-01 Broadway
Room A7-34
Elmhurst, NY 11373-1329
Mailing address
79-01 Broadway
Room A7-34
Elmhurst, NY 11373-1329
Phone (718) 334-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250522000223 | MD | Order and Referring Only - Medical Genetics and Genomics | 1052830197 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1275263188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79-01 BROADWAY",
"address_2": "ROOM A7-34",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731329",
"telephone_number": "718-334-8000",
"fax_number": "718-334-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79-01 BROADWAY",
"address_2": "ROOM A7-34",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731329",
"telephone_number": "718-334-8000",
"fax_number": "718-334-2862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "AYMAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-14",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
- Reginald Hyppolite, PA
- Andrea Michelle Iacampo Syed, PSYD
- Joseph Patrick Iannotto
- Laura G. Iavicoli, M.D.
- Hamza Ahmed Ibad, MBBS
- Icahn School of Medicine at Mount Sinai (Mount Sinai Elmhurst Faculty Practice Group)
- Icahn School of Medicine at Mount Sinai (Mount Sinai Elmhurst Faculty Practice Group)
- Icahn School of Medicine at Mount Sinai (Mount Sinai Elmhurst Faculty Practice Group)
- Icahn School of Medicine at Mount Sinai (Mount Sinai Elmhurst Faculty Practice Group)
- Icahn School of Medicine at Mount Sinai (Mount Sinai Elmhurst Faculty Practice Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.