Active NPIIndividual provider

Mamdouh S Ibrahim, PTA

Physical Therapy Assistant in Cresskill, New Jersey

NPI Number1437368669
Practice location
221 County RD, Cresskill, NJ 07626-1605
Fax
—
Last updated
July 8, 2007

Mamdouh Sayed Ibrahim is a Physical Therapy Assistant based in Cresskill, NJ. Mamdouh Sayed Ibrahim practices in Cresskill, NJ and has the professional credentials of PTA. The NPI Number for Mamdouh Sayed Ibrahim is 1437368669 and holds a License No. QB1281 (NJ). The current practice location address for Mamdouh Sayed Ibrahim is 221 County RD, Cresskill, NJ 07626-1605 and can be reached out via phone at 201-567-9310.

Provider Profile Details

NPI Number
1437368669
Provider Name
Mamdouh Sayed Ibrahim
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
221 County RD, Cresskill, NJ 07626-1605
Phone Number
201-567-9310
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
May 22, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
221 County RD
Cresskill, NJ 07626-1605
Zip
07626-1605
Phone Number
201-567-9310
Cresskill, NJ 07626Get directions →

Provider Business Mailing Address Details

Address
33 Sunset Ave
Bayonne, NJ 07002-2209
City
Bayonne
State
NJ
Zip
07002-2209
Phone Number
201-339-5185

License Information

License Number
QB1281
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Mamdouh S Ibrahim, PTA?

The NPI number of Mamdouh S Ibrahim, PTA is 1437368669. It was assigned on May 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Mamdouh S Ibrahim, PTA?

Mamdouh S Ibrahim, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number QB1281.

Where does Mamdouh S Ibrahim, PTA practice?

The practice location is 221 County RD, Cresskill, NJ 07626-1605. The office can be reached at 201-567-9310 (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 1437368669 directly on the NPPES registry website.

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