S T Ibrahim Medical P.c is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Demarest, New Jersey. The current practice location for S T Ibrahim Medical P.c is 112 Knickerbocker Rd, Demarest, New Jersey. For appointments, you can reach them via phone at (856) 221-8225. The mailing address for S T Ibrahim Medical P.c is 112 Knickerbocker Rd, Demarest, New Jersey and phone number is (856) 221-8225.
S T Ibrahim Medical P.c is licensed to practice in New Jersey (license number ). The clinic also participates in the medicare program and its NPI number is 1639676596. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (856) 221-8225.
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
S T Ibrahim Medical P.c 112 Knickerbocker Rd Demarest NJ 07627-1026 Ph: (856) 221-8225
S T Ibrahim Medical P.c 112 Knickerbocker Rd Demarest NJ 07627-1026 Ph: (856) 221-8225
NPI Details:
NPI Number
1639676596
Provider Enumeration Date
04/09/2018
Last Update Date
04/09/2018
Medicare PECOS Information:
Medicare PECOS PAC ID
8224385026
Medicare Enrollment ID
O20180725002071
Medical Identifiers
Medical identifiers for S T Ibrahim Medical P.c such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1639676596
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
2084P0800X
Psychiatry & Neurology - Psychiatry
(New Jersey)
Primary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. S T Ibrahim Medical P.c acts as a billing entity for following providers: