Individual provider Active NPI

Cherif Ibrahim, MD

  • Cytopathology Physician
  • Middletown, NY
National Provider Identifier
1548423296
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
MT193288 Issued in PA
Practice address
60 Prospect Avenue
Mid Atlantic Pathology Services, PA/Orange Regional Med
Middletown, NY 10940-4133
Phone
(845) 346-0664
NPI assigned
Jul 2, 2008
Last updated
Jul 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X MT193288 PA Primary

Addresses

Primary practice location

60 Prospect Avenue
Mid Atlantic Pathology Services, PA/Orange Regional Med
Middletown, NY 10940-4133

Mailing address

PO Box 928
Mid Atlantic Pathology Services, PA
Middletown, NY 10940-4133
Phone (845) 346-0664

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT193288PAMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital District Pathology Associates PLLC PastSince May 31, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1548423296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 928",
            "address_2": "MID ATLANTIC PATHOLOGY SERVICES, PA",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404133",
            "telephone_number": "845-346-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PROSPECT AVENUE",
            "address_2": "MID ATLANTIC PATHOLOGY SERVICES, PA/ORANGE REGIONAL MED",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404133",
            "telephone_number": "845-346-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "CHERIF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "PA",
            "license": "MT193288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.