Shenouda Ibrahim, PA
Physician Assistant in Clifton, New Jersey
1588347389- Practice location
- 1135 Main Ave, Clifton, NJ 07011-2353
- Phone
- 973-928-3388
- Fax
- —
- Last updated
- December 21, 2023
Shenouda Ibrahim is a Physician Assistant based in Clifton, NJ. Shenouda Ibrahim practices in Clifton, NJ and has the professional credentials of PA. The NPI Number for Shenouda Ibrahim is 1588347389 and holds a License No. 25MP00802600 (NJ). The current practice location address for Shenouda Ibrahim is 1135 Main Ave, Clifton, NJ 07011-2353 and can be reached out via phone at 973-928-3388.
Provider Profile Details
- NPI Number
- 1588347389
- Provider Name
- Shenouda Ibrahim
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1135 Main Ave, Clifton, NJ 07011-2353
- Phone Number
- 973-928-3388
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 8, 2023
- Last Update Date
- December 21, 2023
- Certification Date
- December 21, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1135 Main Ave
Clifton, NJ 07011-2353 - City
- Clifton
- State
- New Jersey
- Zip
- 07011-2353
- Phone Number
- 973-928-3388
Provider Business Mailing Address Details
- Address
- 22 Berkeley Ave
Belleville, NJ 07109-1470 - City
- Belleville
- State
- NJ
- Zip
- 07109-1470
License Information
- License Number
- 25MP00802600
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Shenouda Ibrahim, PA?
The NPI number of Shenouda Ibrahim, PA is 1588347389. It was assigned on August 8, 2023 and is currently active in the NPPES registry.
What is the specialty of Shenouda Ibrahim, PA?
Shenouda Ibrahim, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00802600.
Where does Shenouda Ibrahim, PA practice?
The practice location is 1135 Main Ave, Clifton, NJ 07011-2353. The office can be reached at 973-928-3388 (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 1588347389 directly on the NPPES registry website.