Active NPIIndividual providerSole proprietor

Mariam Ibrahim, COTA

Occupational Therapy Assistant in Bayonne, New Jersey

NPI Number1134660939
Practice location
525 Avenue C, Bayonne, NJ 07002-3750
Fax
—
Last updated
March 13, 2017

Mariam Ibrahim is an Occupational Therapy Assistant based in Bayonne, NJ. Mariam Ibrahim practices in Bayonne, NJ and has the professional credentials of COTA. The NPI Number for Mariam Ibrahim is 1134660939 and holds a License No. 008969 (NY). The current practice location address for Mariam Ibrahim is 525 Avenue C, Bayonne, NJ 07002-3750 and can be reached out via phone at 201-484-9958.

Provider Profile Details

NPI Number
1134660939
Provider Name
Mariam Ibrahim
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
525 Avenue C, Bayonne, NJ 07002-3750
Phone Number
201-484-9958
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 13, 2017
Last Update Date
March 13, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
525 Avenue C
Bayonne, NJ 07002-3750
Zip
07002-3750
Phone Number
201-484-9958
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
525 Avenue C
Bayonne, NJ 07002-3750
City
Bayonne
State
NJ
Zip
07002-3750
Phone Number
201-484-9958

License Information

License Number
008969
License State
NY
Taxonomy
Occupational Therapy Assistant · 224Z00000X · 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 Mariam Ibrahim, COTA?

The NPI number of Mariam Ibrahim, COTA is 1134660939. It was assigned on March 13, 2017 and is currently active in the NPPES registry.

What is the specialty of Mariam Ibrahim, COTA?

Mariam Ibrahim, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NY under license number 008969.

Where does Mariam Ibrahim, COTA practice?

The practice location is 525 Avenue C, Bayonne, NJ 07002-3750. The office can be reached at 201-484-9958 (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 1134660939 directly on the NPPES registry website.

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