- Practice location
- 111 E 210TH St, Bronx, NY 10467-2401
- Phone
- 718-920-4321
- Fax
- —
- Last updated
- May 22, 2023
Brian Ibabao is an Anesthesiology based in Bronx, NY. Brian Ibabao practices in Bronx, NY and has the professional credentials of MD. The NPI Number for Brian Ibabao is 1114488418 and holds a License No. 25MA11741700 (NJ). The current practice location address for Brian Ibabao is 111 E 210TH St, Bronx, NY 10467-2401 and can be reached out via phone at 718-920-4321.
Provider Profile Details
- NPI Number
- 1114488418
- Provider Name
- Brian Ibabao
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 111 E 210TH St, Bronx, NY 10467-2401
- Phone Number
- 718-920-4321
- Primary Taxonomy
- Anesthesiology · 207L00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 28, 2019
- Last Update Date
- May 22, 2023
- Certification Date
- May 22, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 E 210TH St
Bronx, NY 10467-2401 - City
- Bronx
- State
- New York
- Zip
- 10467-2401
- Phone Number
- 718-920-4321
Provider Business Mailing Address Details
- Address
- 500 W Main St Ste 16
Wyckoff, NJ 07481-1406 - City
- Wyckoff
- State
- NJ
- Zip
- 07481-1406
- Phone Number
- 201-847-9320
- Fax Number
- 201-847-0059
License Information
- License Number
- 25MA11741700
- License State
- NJ
- Taxonomy
- Anesthesiology · 207L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Anesthesiology providers near Bronx, NY
View all Anesthesiology providers in Bronx →Frequently Asked Questions
What is the NPI number of Brian Ibabao, MD?
The NPI number of Brian Ibabao, MD is 1114488418. It was assigned on March 28, 2019 and is currently active in the NPPES registry.
What is the specialty of Brian Ibabao, MD?
Brian Ibabao, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in NJ under license number 25MA11741700.
Where does Brian Ibabao, MD practice?
The practice location is 111 E 210TH St, Bronx, NY 10467-2401. The office can be reached at 718-920-4321 (phone).
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 1114488418 directly on the NPPES registry website.