Amber Ebrahim, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

243536 Issued in NY

Practice address

1000 10TH Ave
Pathology Dept.
New York, NY 10019-1147

Phone

(212) 420-2124

Fax

(212) 420-3449

NPI assigned

May 24, 2007

Last updated

Nov 27, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ame9023@direct.weillcornell.org

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.

• Beth Israel Medical Center

  dba Beth Israel Diagnostic Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
  • NPI 1346256674
  NPD (past)
• Saint Lukes Roosevelt Hospital - Pathology Dept

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
  • NPI 1801802137
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1336350131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FIRST AVENUE AT 16TH STREET",
            "address_2": "PATHOLOGY DEPT.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2124",
            "fax_number": "212-420-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "address_2": "PATHOLOGY DEPT.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191147",
            "telephone_number": "212-420-2124",
            "fax_number": "212-420-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHIM",
        "first_name": "AMBER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "243536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02879041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wataru Ebina, MD, PHD
• Ebl Coaching
• Sabrina Shoshana Ebner, M.S. CF-SLP
• Yaniv Ebner, M.D.
• Alexandra Ebol
• Amira Ebrahim
• Elika Ebrahimi
• Waise Omid Ebrahimi, D.D.S.
• Yoram Ebrahimi, M.D.
• Stefanie Brooke Ebrahimoff, OTR/L

• Anatomic Pathology & Clinical Pathology Physician in New York, NY
• Providers in New York, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.