S T IBRAHIM MEDICAL P.C (NPI# 1639676596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639676596 |
| Entity Type | Organization |
| Organization Name | S T IBRAHIM MEDICAL P.C |
| Practice Address |
112 Knickerbocker Rd Demarest NJ 07627-1026 |
| Practice Telephone | 8562218225 |
| Practice Fax Number | 2013313637 |
| Mailing Telephone | 8562218225 |
| Mailing Fax Number | 2013313637 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Authorized Official Name | DR. SYED TARIQ IBRAHIM (OWNER) |
| Authorized Official Telephone | 8562218225 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
NJ | Allopathic & Osteopathic Physicians |
| Street Address |
112 KNICKERBOCKER RD |
| City | DEMAREST |
| State | NJ |
| Zip Code | 07627-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912493313 | Yasmeen Nazli Md Medical PC | Obstetrics & Gynecology | 112 Knickerbocker Rd, Demarest, NJ 07627-1026 | 2018-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780239269 | Dana Bach Lindbloom | Speech-Language Pathologist | 568 Piermont Rd., Demarest, NJ 07627 | 2019-08-01 |
| 1386152981 | Cynthia Iris Aronson-berman | Speech-Language Pathologist | 142 County Rd., Demarest, NJ 07627 | 2018-01-17 |
| 1447714902 | Board of Education Northern Valley Regional High School District | Local Education Agency (LEA) | 162 Knickerbocker Rd, Demarest, NJ 07627-1033 | 2019-01-29 |
| 1881257707 | Melissa Alexis Neustein | Occupational Therapist | 6 Stratford Ct, Demarest, NJ 07627-1107 | 2019-04-16 |
| 1497805113 | Jill Kavaler | Anesthesiology | 11 Bogert Rd, Demarest, NJ 07627-1201 | 2007-01-12 |
| 1194903690 | Karen Gail Bekker | Psychologist | 53 Duane Ln, Demarest, NJ 07627-1304 | 2008-02-06 |
| 1285879932 | Dennis Gary Shulman | Psychologist | 285 Hardenburgh Ave, Demarest, NJ 07627-1306 | 2008-12-10 |
| 1215044136 | Vivian F. Olsen | Psychologist | 14 Pine Hill Rd, Demarest, Demarest, NJ 07627-1309 | 2006-08-24 |
| 1710138409 | Sandra Marie Carlisle | Psychologist | 14 Pine Hill Rd, Demarest, NJ 07627-1309 | 2008-10-01 |
| 1649441155 | James L. Fosshage | Psychologist | 16 Poplar Rd, Demarest, NJ 07627-1310 | 2008-03-12 |
| Find all providers in zip 07627 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1790309862 | Success Tms Professional Services New Jersey LLC | Psychiatry & Neurology | 240 Frisch Ct Ste 101, Paramus, NJ 07652-5249 | 2020-06-03 |
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| 1740829167 | Medical Psychiatric Associates LLC | Psychiatry & Neurology | 116 Village Blvd Ste 200, Princeton, NJ 08540-5700 | 2020-01-02 |
| 1003453986 | Genpsych Flemington | Psychiatry & Neurology | 200 Route 31 Ste 104, Flemington, NJ 08822-5812 | 2019-12-10 |
| 1730725052 | Ketamine Treatment Centers of Princeton, LLC | Psychiatry & Neurology | 91 S Jefferson Rd Ste 301, Whippany, NJ 07981-1037 | 2019-11-21 |
| 1205471042 | Yang Tms Center of New Jersey | Psychiatry & Neurology | 999 Route 73 N Ste 200a, Marlton, NJ 08053-1227 | 2019-11-15 |
| 1942868641 | Brightmindsmd LLC | Psychiatry & Neurology | 123 South Ave E, Westfield, NJ 07090-1454 | 2019-05-29 |
| 1699238741 | Comprehensive Behavioral Health Medicine | Psychiatry & Neurology | 121 Mountain Ct Ste 114, Hackettstown, NJ 07840-2317 | 2019-04-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.