GHASSAN JERJOUS IBRAHIM (NPI# 1740456136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740456136 |
| Entity Type | Individual |
| Full Name | GHASSAN JERJOUS IBRAHIM |
| Credential | M.D. |
| Practice Address |
99 Highway 37 W Toms River NJ 08755-6423 |
| Mailing Address |
11218 Clubhouse Rd Presto PA 15142-1566 |
| Practice Telephone | 7325578141 |
| Mailing Telephone | 4124895254 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2010-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
25MA08776200 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
99 HIGHWAY 37 W |
| City | TOMS RIVER |
| State | NJ |
| Zip Code | 08755-6423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982691879 | Medical Radiology Group Pa | Radiology | 99 Highway 37 W, Toms River, NJ 08755-6423 | 2005-10-05 |
| 1730704768 | Shari Lynn Herron | Registered Nurse | 99 Highway 37 W, Toms River, NJ 08755-6423 | 2020-06-16 |
| 1922622802 | Megan Elizabeth Marx | Midwife | 99 Highway 37 W, Toms River, NJ 08755-6423 | 2020-06-05 |
| 1922641547 | Kimberly Lane | Physician Assistant | 99 Highway 37 W, Toms River, NJ 08755-6423 | 2019-10-27 |
| 1700430287 | Kimberly Ann Mejia | Nurse Anesthetist, Certified Registered | 99 Highway 37 W, Toms River, NJ 08755-6423 | 2019-08-01 |
| 1700349859 | Amanda Jayne Orzo | Physician Assistant | 99 Highway 37 W, Toms River, NJ 08755-6423 | 2019-04-07 |
| 1639671704 | Kendal Marie Smith | Nurse Anesthetist, Certified Registered | 99 Highway 37 W, Toms River, NJ 08755-6423 | 2018-03-05 |
| 1912419169 | Mihaela Michael | Nurse Practitioner | 99 Highway 37 W, Toms River, NJ 08755-6423 | 2017-10-27 |
| 1417497694 | Emily Diane Wetterlin Sauls | Physician Assistant | 99 Highway 37 W, Toms River, NJ 08755-6423 | 2017-03-07 |
| 1003269754 | Kim Clement | Registered Nurse | 99 Highway 37 W, Toms River, NJ 08755-6423 | 2016-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501853 | Anthony Giallombardo Jr. | Optometrist | 864 Nj-37 W, Toms River, NJ 08755 | 2020-06-04 |
| 1720607120 | Smita Uma Jaggernauth | Pharmacist | Community Medical Center, 99 Route 37 W, Toms River, NJ 08755 | 2020-04-15 |
| 1356975486 | Ashley Victoria Damiano | Registered Nurse | 99 Nj Route 37, Toms River, NJ 08755 | 2020-02-27 |
| 1700410156 | Garden State Smiles Toms River | Dentist | 599 Nj 37#1, Toms River, NJ 08755 | 2020-02-25 |
| 1386116341 | Eihab Human Services New Jersey, Inc. | Case Management | 1000 Axl Rd., Apt. 1-101, Toms River, NJ 08755 | 2018-12-31 |
| 1114496825 | Sari Gottlieb Kornfield | Social Worker | Children's Specialized, 368 Lakehurst Road, Toms River, NJ 08755 | 2018-11-26 |
| 1538643580 | New Cell Centers | Clinic/Center | 780 Nj-37, #330, Toms River, NJ 08755 | 2018-09-16 |
| 1477047439 | Lovelife Family Counseling | Psychologist | 1563 Old Freehold Rd, Toms River, NJ 08755 | 2018-06-21 |
| 1396238499 | Melissa Renee Nickols | Physician Assistant | 99 Rout 37 West, Toms River, NJ 08755 | 2018-06-13 |
| 1740772953 | Abby Foma | Counselor | 368 Lakehurst Drive, Toms River, NJ 08755 | 2018-06-04 |
| Find all providers in zip 08755 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104063064 | Icynth M Baron Gabriel | Pathology | 1318 Vincenzo Dr, Toms River, NJ 08753-2768 | 2009-01-14 |
| 1831341791 | Rajit Bhoosa Malliah | Pathology | 1709 Tall Oak Ln, Toms River, NJ 08755-2175 | 2008-10-22 |
| 1215956305 | Bay Pathology, Pa | Pathology | 99 Route 37 W, Toms River, NJ 08755-6423 | 2006-07-19 |
| 1588611644 | Ocean Pathology Pa | Pathology | 99 Highway 37 W, Toms River, NJ 08755-6423 | 2006-05-27 |
| 1417908468 | Paul J Simon | Pathology | 99 Highway 37, Toms River, NJ 08755-6423 | 2006-05-15 |
| 1306896964 | Mohammad A Hafiz | Pathology | 99 Highway 37, Toms River, NJ 08755-6423 | 2006-05-12 |
| 1679523237 | Ramesh Chandra Mahapatro | Pathology | 99 Highway 37, Toms River, NJ 08755-6423 | 2006-05-12 |
| 1386609295 | Stewart Miller | Pathology | Community Medical Center, 99 Highway 37 West, Toms River, NJ 08755-6423 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881107498 | James Mark Vangurp Jr. | Pathology | 25 Raymond Pl, Hawthorne, NJ 07506-1112 | 2017-11-06 |
| 1902218498 | Tianhua Guo | Pathology | 385 Ocean Blvd Apt 3g, Long Branch, NJ 07740-5736 | 2014-06-02 |
| 1164850335 | Qualdx, LLC | Pathology | 1305 Kings Hwy N Ste 2, Cherry Hill, NJ 08034-1919 | 2013-10-24 |
| 1528493574 | Noel Kowal | Pathology | 150 Bergen St Dept Of, Newark, NJ 07103-2496 | 2013-09-10 |
| 1447591656 | Manuel Halcon Moraleda | Pathology | 1 Buckingham Dr, Berlin, NJ 08009-9689 | 2013-03-13 |
| 1801132634 | Sunder H, Mansukhani | Pathology | 48 Old Mill Dr, Voorhees, NJ 08043-4781 | 2012-12-26 |
| 1992062103 | Nicole Saviano | Pathology | 19 Woodfield Ln, Saddle River, NJ 07458-3219 | 2012-04-12 |
| 1619240991 | John Earl Pickering | Pathology | 357 Breakneck Rd, Sewell, NJ 08080-4407 | 2012-02-16 |
| 1235401936 | Richard Bruce Maranoff | Pathology | 402 Chanticleer, Cherry Hill, NJ 08003-4830 | 2012-01-27 |
| 1467735290 | Reena Schaeffer | Pathology | 61 Kings Hwy W, Haddonfield, NJ 08033-2114 | 2011-09-28 |
| Find all providers with the same taxonomy | ||||
| City | TOMS RIVER |
| Zip Code | 08755 |
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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.