Active NPI
Wagih Ibrahim, R.S.A
- Physician Assistant
- Hawthorne, NY
National Provider Identifier
1982877296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0000157
- Practice address
- 24 Saw Mill River Rd
Suite 206
Hawthorne, NY 10532-1541 - Phone
- (914) 631-7777
- NPI assigned
- Apr 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0000157 | NY | Primary |
Addresses
Primary practice location
24 Saw Mill River Rd
Suite 206
Hawthorne, NY 10532-1541
Mailing address
24 Saw Mill River Rd
Suite 206
Hawthorne, NY 10532-1541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000157 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1982877296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SAW MILL RIVER RD",
"address_2": "SUITE 206",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SAW MILL RIVER RD",
"address_2": "SUITE 206",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321541",
"telephone_number": "914-631-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "WAGIH",
"name_prefix": "Mr.",
"credential": "R.S.A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-08",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "0000157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, NY
- Hudson Valley Eye Associates LLP
- Hudson Valley Hand Physical Therapy & Occupational Therapy PLLC
- Hudson Valley Physical Medicine &Rehabilitation,PLLC
- Claudia S Hughes
- Alison Kathleen Iamiceli, OTR/L
- Adela Cristina Igniska, MS, ATC
- Uloma Ijomah, NP
- Independent Care Medical PLLC
- Melissa Infantino, COTA/L
- Angela Iovine, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.