Active NPIIndividual provider

Christine Ibrahim, MD

Family Medicine in Port Monmouth, New Jersey

NPI Number1114158987
Practice location
363 Hwy 36, Port Monmouth, NJ 07758-1359
Fax
732-471-7949
Last updated
February 21, 2014

Christine Ibrahim is a Family Medicine based in Port Monmouth, NJ. Christine Ibrahim practices in Port Monmouth, NJ and has the professional credentials of MD. The NPI Number for Christine Ibrahim is 1114158987 and holds a License No. 25MA09067400 (NJ). The current practice location address for Christine Ibrahim is 363 Hwy 36, Port Monmouth, NJ 07758-1359 and can be reached out via phone at 732-471-0400 and via fax at 732-471-7949.

Provider Profile Details

NPI Number
1114158987
Provider Name
Christine Ibrahim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
363 Hwy 36, Port Monmouth, NJ 07758-1359
Phone Number
732-471-0400
Fax Number
732-471-7949
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2009
Last Update Date
February 21, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
363 Hwy 36
Port Monmouth, NJ 07758-1359
Zip
07758-1359
Phone Number
732-471-0400
Fax Number
732-471-7949
Port Monmouth, NJ 07758Get directions →

Provider Business Mailing Address Details

Address
Po Box 8519
Red Bank, NJ 07701-8519
City
Red Bank
State
NJ
Zip
07701-8519
Phone Number
732-460-9840
Fax Number
732-460-9848

License Information

License Number
25MA09067400
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Christine Ibrahim, MD?

The NPI number of Christine Ibrahim, MD is 1114158987. It was assigned on July 28, 2009 and is currently active in the NPPES registry.

What is the specialty of Christine Ibrahim, MD?

Christine Ibrahim, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA09067400.

Where does Christine Ibrahim, MD practice?

The practice location is 363 Hwy 36, Port Monmouth, NJ 07758-1359. The office can be reached at 732-471-0400 (phone) or 732-471-7949 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114158987 directly on the NPPES registry website.

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