Active NPI
Kristin Ibrahim
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1508792524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 200 W 57TH St Ste 10008
New York, NY 10019-3211 - Phone
- (646) 837-5557
- NPI assigned
- Jun 18, 2026
- Last updated
- Jun 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | Primary |
Addresses
Primary practice location
200 W 57TH St Ste 10008
New York, NY 10019-3211
Mailing address
28611 Murrelet Dr
Laguna Niguel, CA 92677-1377
Phone (949) 606-4485
Other practice location 1
26 Court St Ste 1808
Brooklyn, NY 11242-1118
Phone (516) 517-0928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1508792524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28611 MURRELET DR",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926771377",
"telephone_number": "949-606-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 57TH ST STE 10008",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193211",
"telephone_number": "646-837-5557"
}
],
"practiceLocations": [
{
"address_1": "26 Court St Ste 1808",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112421118",
"country_code": "US",
"telephone_number": "516-517-0928",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IBRAHIM",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-18",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.