Mariane Ibrahim, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA09632000 Issued in NJ

Practice address

1314 Hooper Ave BLDG A2Nd
Toms River, NJ 08753-2586

Phone

(322) 557-5537

Fax

(732) 255-8901

NPI assigned

Mar 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Silverton Pediatrics LLC

  • Pediatric Adolescent Medicine Physician
  • Toms River, NJ
  • NPI 1538209408
  NPD (past)
• Central Texas Pain Institute PLLC

  • Interventional Pain Medicine Physician
  • Killeen, TX
  • NPI 1316956832
  NPD (past)

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1669748695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 HOOPER AVE BLDG A2ND",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532586",
            "telephone_number": "322-557-5537",
            "fax_number": "732-255-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 HOOPER AVE BLDG A2ND",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532586",
            "telephone_number": "322-557-5537",
            "fax_number": "732-255-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "MARIANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09632000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Janet Hynes, PHARMD
• Hypertension & Kidney Group
• Miriam Iann
• Stephanie Iannelli, LCSW
• Leanne Iantosca
• Icon Transportation LLC
• Ideal Health Care LLC
• Rhoneda Ignacio
• Lana Ignatov
• Katherine Ihringer, LPC

• Pediatrics Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.