Active NPI
Nancy Ibrahim, M.D.
- Diagnostic Radiology Physician
- Galloway, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA09843600
- Practice address
- 44 E Jimmie Leeds Rd Ste 101
Galloway, NJ 08205-9599 - Phone
- (609) 677-9729
- NPI assigned
- Jun 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT198144 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 25MA09843600 | NJ | Primary |
Addresses
Primary practice location
44 E Jimmie Leeds Rd Ste 101
Galloway, NJ 08205-9599
Mailing address
8025 Black Horse Pike
Pleasantville, NJ 08232-2900
Phone (609) 652-8316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
219 N White Horse Pike
Hammonton, NJ 08037-1896
Phone (609) 878-9729
44 E Jimmie Leeds Rd
Suite 101
Galloway, NJ 08205-9599
Phone (609) 677-9729
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.6 of 100
- Quality
- 98.86
- Improvement activities
- 40
- Cost
- 77.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.1 of 100
- Quality
- 89.53
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT198144 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ami Atlanticare LLC | Current | Accepting new patients | |
| Atlantic Radiologists Professional Association LLC | Diagnostic Radiology | Current | Accepting new patients |
| Atlantic Medical Imaging | Current | Accepting new patients |
Locations
1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023
72 W Jimmie Leeds Rd
Ste 1100
Galloway, NJ 08205
Phone (609) 652-6815
44 E Jimmie Leeds Rd
Ste 101
Galloway, NJ 08205
Phone (609) 652-7349
219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729
65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414
Organizations & group practices 3
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.
-
- Radiology Clinic/Center
- Hammonton, NJ
- NPI 1275762023
-
- Specialist
- Galloway, NJ
- NPI 1396771556
-
- Diagnostic Radiology Physician
- Atlantic City, NJ
- NPI 1841438728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1962713040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8025 BLACK HORSE PIKE",
"city": "PLEASANTVILLE",
"state": "NJ",
"postal_code": "082322900",
"telephone_number": "609-652-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 E JIMMIE LEEDS RD STE 101",
"city": "GALLOWAY",
"state": "NJ",
"postal_code": "082059599",
"telephone_number": "609-677-9729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "NANCY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT198144",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA09843600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galloway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.