Individual provider Active NPI

Ibrahim Alsherief, DO

  • Psychiatry Physician
  • Edison, NJ
National Provider Identifier
1497338099
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MB12065400 Issued in NJ
Practice address
629 Amboy Ave FL 3
Edison, NJ 08837-3579
Phone
(848) 219-1602
NPI assigned
Apr 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 326984 NY
Psychiatry Physician 2084P0800X 25MB12065400 NJ Primary

Addresses

Primary practice location

629 Amboy Ave FL 3
Edison, NJ 08837-3579

Mailing address

7901 Broadway # D10-38
Elmhurst, NY 11373-1329
Phone (718) 334-3570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250522000268 NJ Practitioner - Psychiatry 2365961414 Reassigns benefits to 3 organizations
I20250627002196 NY Practitioner - Psychiatry 2365961414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rowan University School of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians
Gands Medical Associates LLCGroup PAC ID 0244404697, 17 clinicians

Practice addresses (Care Compare)

201 Lyons Ave
L4
Newark, NJ 07112-2027
Phone (973) 926-7814

606 Broadway
Paterson, NJ 07514-1916
Phone (908) 240-8142

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Current Accepting new patients
Synapse Wellness Psychiatry CurrentSince Jul 1, 2025 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jun 1, 2025 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jun 1, 2025 Accepting new patients
G&S Medical Associates LLC Psychiatry CurrentSince Jul 1, 2025 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Sep 4, 2025 Accepting new patients

Locations

629 Amboy Ave
Fl 3
Edison, NJ 08837
Phone (732) 486-3420

629 Amboy Ave
Ste 307
Edison, NJ 08837
Phone (848) 219-1602

331 US Highway 206
Ste 1A
Hillsborough, NJ 08844
Phone (908) 431-0600

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
#L4
Newark, NJ 07112
Phone (973) 926-7154

606 Broadway
Paterson, NJ 07514
Phone (973) 278-8818

91 Main St
Paterson, NJ 07505
Phone (973) 358-5500

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

50 Water St
Fl 3
New York, NY 10004

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1497338099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY # D10-38",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-3570",
            "fax_number": "718-334-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 AMBOY AVE FL 3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373579",
            "telephone_number": "848-219-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSHERIEF",
        "first_name": "IBRAHIM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-30",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "326984",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB12065400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.