Dr. Ayman M Ibrahim, D.O.
Psychiatry & Neurology, Neurology in Bloomfield, NJ. Individual provider (NPI-1).
NPI number1508025834
StatusActive
Last updated in NPPESNov 8, 2016
Details
- NPI
- 1508025834
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ayman M Ibrahim
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2008
- Last updated
- Nov 8, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NEUROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 25MB09396200 | NJ | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | 02003764A | IN | |
| 2084N0400X | Psychiatry & Neurology, Neurology | 259590 | NY |
Practice location
194 Broad StSuite 4
Bloomfield, NJ 07003-2606
Phone 973-680-8400 · Fax 973-680-8404
Mailing address
370 W Pleasantview AveSuite 2-299
Hackensack, NJ 07601-8004
Phone 973-680-8400 · Fax 973-680-8404
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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