Intisar Ibrahim (NPI# 1912335191, PAC ID# 3072890086) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912335191 |
| PAC ID by PECOS | 3072890086 |
| Professional Enrollment ID | I20170522002830 |
| Full Name | Intisar Ibrahim |
| Organization Legal Name | BLOOMFIELD HEALTH SERVICES, LLC |
| Address |
322 Glenwood Ave Bloomfield NJ 07003-2413 |
| Phone Number | 8622130625 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486937596 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 322 Glenwood Ave, Bloomfield, NJ 07003-2413 | 8622130625 | BLOOMFIELD HEALTH SERVICES, LLC |
| Organization Legal Name | BLOOMFIELD HEALTH SERVICES, LLC |
| Physicians | 1 |
| Street Address |
322 GLENWOOD AVE |
| City | BLOOMFIELD |
| State | NJ |
| Zip | 07003-2413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dehabah Sylvester | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Ajit Shah | Internal Medicine | 206 Belleview Ave, Suite 204 A, Bloomfield, NJ 07003 | |
| Michael Credico | Chiropractic | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Christopher W. Tuosto | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Tracey L Byrne | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Theresa Ong | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Philip T Casale | Chiropractic | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Khyati Shah | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Lauren Palang | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Mary Gizzi | Clinical Social Worker | 330 Glenwood Ave, Suite 204, Bloomfield, NJ 07003-2484 | |
| Find all physicians in zip 07003 | |||
| City | BLOOMFIELD |
| Zip Code | 07003 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BLOOMFIELD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Intisar Ibrahim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.