Individual provider Active NPI

Sakirat Folasade Ibrahim

  • Family Medicine Physician
  • Monmouth Junction, NJ
National Provider Identifier
1285580159
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26NJ15508100 Issued in NJ
Practice address
1704 Pheasant Run
Monmouth Junction, NJ 08852-1941
Phone
(443) 410-6343
NPI assigned
Mar 4, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26NJ15508100 NJ Primary

Addresses

Primary practice location

1704 Pheasant Run
Monmouth Junction, NJ 08852-1941

Mailing address

1704 Pheasant Run
Monmouth Junction, NJ 08852-1941
Phone (443) 410-6343

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260429002599 NJ Practitioner - Nurse Practitioner 2365919149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1704 Pheasant Run
Monmouth Junction, NJ 08852-1941

507 S Douglas St FL
Suite 3
El Segundo, CA 90245-4810

831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ15508100NJMDFamily Medicine Physician

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1285580159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 PHEASANT RUN",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521941",
            "telephone_number": "443-410-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 PHEASANT RUN",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521941",
            "telephone_number": "443-410-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "SAKIRAT",
        "middle_name": "FOLASADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NJ15508100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth Junction, NJ

Sources for this page

Verify at the official NPI Registry.