Araz Ibragimov, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MB09221400 Issued in NJ

Practice address

175 High Street
Newton, NJ 07860

Phone

(973) 383-2121

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: aibragimov1053181@nychhc.direct-ci.com

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.

• Kips Bay Anesthesia PC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1245464924
  Medicare reassignment NPD
• Kips Bay Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
  • NPI 1912909169
  Medicare reassignment NPD
• North American Partners in Anesthesia, Pennsylvania , LLC

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1639137854

  PA

  Medicare reassignment NPD
• North American Partners in Anesthesia (Virginia), LLC

  • Anesthesiology Physician
  • Fairfax, VA
  • NPI 1922031442
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1689883159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DRIVE",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332921",
            "telephone_number": "703-295-9360",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HIGH STREET",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "07860",
            "telephone_number": "973-383-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAGIMOV",
        "first_name": "ARAZ",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB09221400",
            "primary": true
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NY",
            "license": "244187",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450545",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audra Hover, APRN, FNP-C, NP-C
• Howard J. Sosna DDS Oms, Inc
• Anne Elizabeth Huelbig, PMHNP
• Jacqueline Haydee Hunterton-Anderson, DNP, PMHNP-BC
• Stephanie Iacopelli, M.A., LPC
• Heather Imperato-Shedden, MSW, LCSW
• Jennifer Iorio, RDMS, RVT
• Robin Ivey
• Jack Legon DMD PA
• Omotola Jaiyebo, MD

• Anesthesiology Physician in Newton, NJ
• Providers in Newton, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.