Intisar Ibrahim, DNP, FNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00467900 Issued in NJ

Practice address

318 21St Ave Ste 103
Paterson, NJ 07501-3538

Phone

(201) 233-2999

Fax

(334) 373-4231

NPI assigned

Oct 24, 2013

Last updated

Nov 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hamilton Behavioral HealthGroup PAC ID 2365975505, 4 clinicians

Hamilton Behavioral MD PAGroup PAC ID 8426294216, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Hamilton Behavioral Health

  • Clinical Psychologist
  • Old Tappan, NJ
  • NPI 1720745060
  Medicare reassignment Care Compare group NPD
• Hamilton Behavioral MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Paramus, NJ
  • NPI 1548500408
  Medicare reassignment Care Compare group NPD
• G&S Medical Associates LLC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1982982336

  Family

  Medicare reassignment NPD
• Garden State Counseling, Inc

  • Psychiatry Physician
  • Wayne, NJ
  • NPI 1871901801
  Medicare reassignment NPD
• Wayne Behavioral Service, LLC

  • Psychiatry Physician
  • Wayne, NJ
  • NPI 1487677795
  Medicare reassignment NPD
• Castle Hill Medical of New York, Inc.

  • Clinic/Center
  • Bronx, NY
  • NPI 1205949997
  Medicare reassignment NPD
• Well-America Corp

  • Psychologist
  • Pearl River, NY
  • NPI 1750035879
  Medicare reassignment NPD
• BMG East Orange LLC

  dba Urgent Care & Walk-in Medical Suite

  • Urgent Care Clinic/Center
  • East Orange, NJ
  • NPI 1659882082
  Medicare reassignment
• Auroura Health & Aesthetics

  dba Auroura Comprehensive Health, psychiatry & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Paterson, NJ
  • NPI 1124553557

  Family

  NPD (past) Authorized official
• Crescent Medical Group PC

  • Urgent Care Clinic/Center
  • Roselle Park, NJ
  • NPI 1669027140
  NPD (past)
• Metropolitan Endocrinology, LLC

  dba Sameera Daud-Ahmed

  • Endocrinology, Diabetes & Metabolism Physician
  • Edgewater, NJ
  • NPI 1124606504
  NPD (past)
• Castle Hill Rehab and Medical Services PC

  • Sleep Medicine (Internal Medicine) Physician
  • Bronx, NY
  • NPI 1003022336
  NPD (past)

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1912335191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 21ST AVE STE 103",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075013538",
            "telephone_number": "201-233-2999",
            "fax_number": "334-373-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 21ST AVE STE 103",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075013538",
            "telephone_number": "201-233-2999",
            "fax_number": "334-373-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "INTISAR",
        "name_prefix": "Ms.",
        "credential": "DNP, FNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00467900",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00467900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambrin Hussain-Rizvi, MD
• James John Hussey, LCSW
• Jennifer Elinor Hutchinson, LSW
• Ahmed Mahmood Huzien, MD
• Eric Hwang, D.O.
• Icare Pharmacy Plus LLC (pharmacy plus)
• Icare Pharmacy Plus LLC (Pharmacy Plus)
• Icp2 LLC
• Ifeoma Ezekwo, M.D. (Bronx Eye Institute)
• Yasmine Safia Ikram

• Psychiatric/Mental Health Nurse Practitioner in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.