I M Ibrahim MD LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

1657381 Issued in NJ

Legal business name

I M IBRAHIM MD LLC

Practice address

97 Engle St
Englewood, NJ 07631-2904

Phone

(201) 227-5533

Fax

(201) 227-5537

NPI assigned

Nov 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ibrahim M Ibrahim, M.D.

Title

President

Phone

(201) 227-5533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1659648780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312904",
            "telephone_number": "201-227-5533",
            "fax_number": "201-227-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312904",
            "telephone_number": "201-227-5533",
            "fax_number": "201-227-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I M IBRAHIM MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-227-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "1657381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy R. Hurst, MD, FACOG
• Carol Ann Hutchens, ANP
• Connie Hwang
• Eric Hwang
• Min Hwang, NP-C
• Olga Iakubovska
• Ibrahim M Ibrahim, M.D.
• Jennifer Ibrahim, M.D.
• Ideal Family Health, P.C.
• Shirley Idumwonyi, FNP

• Surgery Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.