Ibrahim

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

316172 Issued in NY

Legal business name

IBRAHIM

Practice address

1915 Morris Ave
Bronx, NY 10453-5920

Phone

(347) 301-1428

NPI assigned

Nov 18, 2013

Last updated

Nov 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ibrahim A Mumuni

Title

Licensed Pratical Nurse

Phone

(347) 301-1428

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1427488063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104535920",
            "telephone_number": "347-301-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104535920",
            "telephone_number": "347-301-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBRAHIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "MUMUNI",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED PRATICAL NURSE",
        "authorized_official_telephone_number": "347-301-1428",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "316172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olufunke Ibitoye, LPN
• Claudette Denise Ible, LMSW
• Ochuko Iboyitie
• David Ibragimov
• Nadezhda Ibragimova, D.O
• Ahmed Ibrahim, RPH
• Anthony Badie Ibrahim
• Fasilat Ibrahim
• Feruza Akaya Ibrahim, RN
• Mariam Naem Ibrahim, MD

• Skilled Nursing Facility in Bronx, NY
• Providers in Bronx, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.