DR. JENNIFER IBRAHIM (NPI# 1932163342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932163342 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER IBRAHIM |
| Credential | M.D. |
| Practice Address |
350 Engle St 2 E Englewood NJ 07631-1808 |
| Mailing Address |
34 E Broad St Bergenfield NJ 07621-3004 |
| Practice Telephone | 2012275526 |
| Practice Fax Number | 2015031029 |
| Mailing Telephone | 2013871033 |
| Mailing Fax Number | 2015031029 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
MA71003 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | AETNA-SJMC | 3609213 | 01 |
| NJ | CIGNA-SJMC | 8628853 | 01 |
| NJ | OXFORD-SJMC | P3168033 | 01 |
| NJ | HEALTHNET-SJMC | 2K5382 | 01 |
| NJ | 8333301 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528432101 | Jennifer Ibrahim | Pharmacist | 2825 Cochran St, Simi Valley, CA 93065-2775 | 2015-11-19 |
| Street Address |
350 ENGLE ST 2 E |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612881 | Englewood Hospital and Medical Center | General Acute Care Hospital | 350 Engle St, Englewood, NJ 07631-1808 | 2005-07-14 |
| 1285233874 | Virginia Njihia | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-10-23 |
| 1548872815 | Deidre A Williams | Nurse Practitioner | 350 Engle St, Englewood, NJ 07631-1808 | 2020-08-18 |
| 1801406632 | Arnold Do | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-08-06 |
| 1760091128 | Michael Haroon Basir | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-07-30 |
| 1942818810 | Shaina Shah | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-07-16 |
| 1013525195 | Stephanie Alvarez | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-07-15 |
| 1386260172 | Joyce B Mbiziwo-tiapo | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-06-18 |
| 1356967228 | Alison Mcilvride | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-06-17 |
| 1760007652 | Abdullah Sultan Ahmad Ahmad | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841291291 | Cheryl S Reid | Medical Genetics | 5 Eaglebrook Ct, Moorestown, NJ 08057-2137 | 2005-08-09 |
| 1972506749 | Darius John Adams | Medical Genetics | 435 South St, Morristown, NJ 07960-6440 | 2005-05-24 |
| 1932351137 | Christopher John Simotas | Medical Genetics | 90 Bergen Street, Doctors Office Complex Suite 5400, Newark, NJ 07103-2425 | 2008-10-21 |
| 1700085883 | Robert J Vosatka | Medical Genetics | 151 Route 10, Suite 105, Succasunna, NJ 07876-1452 | 2007-07-17 |
| 1659403061 | Maria D Schwab | Medical Genetics | 183 South Orange Ave, Bhsb F Level 1425, Newark, NJ 07103-2757 | 2007-03-12 |
| 1639243090 | Beth A Pletcher | Medical Genetics | 90 Bergen St, Doc 5400, Newark, NJ 07103-2425 | 2006-11-20 |
| 1831260769 | Ling-yu Shih | Medical Genetics | 90 Bergen St, Doc 5100, Newark, NJ 07103-2425 | 2006-11-13 |
| 1275615650 | Rutgers Health-rwj Pediatric Genetics | Medical Genetics | 97 Paterson St, New Brunswick, NJ 08901-2160 | 2006-10-19 |
| 1023114592 | Rhonda Schnur | Medical Genetics | 3 Cooper Plz, Suite 200, Camden, NJ 08103-1438 | 2006-09-15 |
| 1851403539 | Debra-lynn Elyse Day-salvatore | Medical Genetics | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2006-08-31 |
| 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.