JAMIL IBRAHIM – NPI #1306267745
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

JAMIL IBRAHIM is a physician located in BROOKLYN, NY. NPPES has assigned the NPI number 1306267745 to JAMIL IBRAHIM on January 03, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 2 years ago on Apr 15, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAMIL IBRAHIM below.

NPI Profile for
JAMIL IBRAHIM

NPI Number
1306267745
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAMIL IBRAHIM
Primary location
3857 KINGS HWY
APT 6B
BROOKLYN, NY 11234-2943
Phone: (917) 775-4830 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Apr 15, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
NY 1306267745
207RC0200X
- Internal Medicine / Critical Care Medicine
NY 285503

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices
Affiliations
JAMIL IBRAHIM is affiliated with the following medical group(s):
  • HOSPITAL
    • ST BARNABAS HOSPITAL
      4422 THIRD AVENUE
      BRONX, NY 10457
  • DIALYSIS FACILITY
    • ST. BARNABAS HOSPITAL OPD DIALYSIS CENTER
      4451 THIRD AVENUE
      BRONX, NY 10457

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