Mina Aziz Ibrahim, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

336278-01 Issued in NY

Practice address

1060 5TH Ave # 1B
New York, NY 10128-0104

Phone

(212) 988-8269

NPI assigned

Apr 18, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, NJ, NY3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

General Surgery

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Montclair Surgical Associates PAGroup PAC ID 4789653627, 6 clinicians

Northeast Surgical Specialists of NJ PCGroup PAC ID 4082109350, 5 clinicians

Surgical Specialists of New Jersey New York PCGroup PAC ID 0840643987, 5 clinicians

Surgical Specialists of Greater Ny LLPGroup PAC ID 3375729833, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
• Lenox Hill Hospital Hospital, New York, NY, CCN 330119
• Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Merit-based Incentive Payment System (MIPS)

Final score

81.19 of 100Reported as group

Quality

63.13

Promoting interoperability

100

Improvement activities

40

Cost

74.18

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mibrahim1134259@ahs.direct-ci.com

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.

• Surgical Specialists of Greater Ny LLP

  • Surgery Physician
  • Oyster Bay, NY
  • NPI 1023315512
  Medicare reassignment Care Compare group NPD
• Surgical Specialists of New Jersey New York PC

  • Surgery Physician
  • Oyster Bay Cove, NY
  • NPI 1245922574

  NJ

  Medicare reassignment Care Compare group NPD
• Montclair Surgical Associates, PA

  • Surgery Physician
  • Glen Ridge, NJ
  • NPI 1770633109
  Medicare reassignment Care Compare group NPD
• Northeast Surgical Specialists of NJ PC

  • Surgery Physician
  • Englewood Cliffs, NJ
  • NPI 1780555060
  Medicare reassignment Care Compare group NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414

  Surgery

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lenox Hill Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1477616571
  Care Compare affiliation
• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation
• Montclair Hospital LLC

  • General Acute Care Hospital
  • Montclair, NJ
  • NPI 1982720249
  Care Compare affiliation

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1497289342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 5TH AVE # 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280104",
            "telephone_number": "212-988-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 5TH AVE # 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280104",
            "telephone_number": "212-988-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "MINA",
        "middle_name": "AZIZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA11703000",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "336278-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ihab I Ibrahim, MD
• Khalid Ibrahim, RPH
• Kristen Alyssa Ibrahim
• Kristin Ibrahim
• Lena Ibrahim, PHARMD
• Mohammed Nurudeen Ibrahim, PHD
• Nadwa Ibrahim, MD
• Nathalie Ibrahim, MDCM
• Neven Ibrahim, RPH
• Nouran Ashraf Ibrahim, MD

• Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.