Ibrahima T Diallo, APN in Jersey City, NJ - Medicare Nurse Practitioner

Ibrahima T Diallo, APN is a medicare enrolled "Nurse Practitioner - Family" in Jersey City, New Jersey. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Marc Goldstein, Py Medical Services Of Nj Llc and his current practice location is 97 Newkirk St Apt 228-229, Jersey City, New Jersey. You can reach out to his office (for appointments etc.) via phone at (888) 551-5456.

Ibrahima T Diallo is licensed to practice in New Jersey (license number 26NJ01390500) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1639651714.

Contact Information

	Ibrahima T Diallo, APN
	97 Newkirk St Apt 228-229, Jersey City, NJ 07306-3021
	(888) 551-5456
	(888) 305-9996

Map and Direction

Provider's Profile

Full Name	Ibrahima T Diallo
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	97 Newkirk St Apt 228-229, Jersey City, New Jersey
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ibrahima T Diallo graduated from nursing school in 2021

NPI Data:

NPI Number: 1639651714
Provider Enumeration Date: 09/05/2018
Last Update Date: 02/24/2026

Medicare PECOS Information:

PECOS PAC ID: 4880057280
Enrollment ID: I20230901001151

Medical Identifiers

Medical identifiers for Ibrahima T Diallo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639651714	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ01390500 (New Jersey)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2025070922 (New Jersey)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ibrahima T Diallo allows following entities to bill medicare on his behalf.

Entity Name	Marc Goldstein
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558347583 PECOS PAC ID: 2264419217 Enrollment ID: O20040707000757

Entity Name	Sm Medical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932562907 PECOS PAC ID: 6406145796 Enrollment ID: O20160510000034

Entity Name	Py Medical Services Of Nj Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942912381 PECOS PAC ID: 6901276922 Enrollment ID: O20230106002325

Entity Name	Hadiatou Diallo's Primary & Mental Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780411587 PECOS PAC ID: 3971037680 Enrollment ID: O20241116000012

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ibrahima T Diallo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ibrahima T Diallo, APN 97 Newkirk St Apt 228-229, Jersey City, NJ 07306-3021 Ph: (888) 551-5456	Ibrahima T Diallo, APN 97 Newkirk St Apt 228-229, Jersey City, NJ 07306-3021 Ph: (888) 551-5456

Reviews and Comments

Nurse Practitioner Nurses in Jersey City, NJ

Catherine Winnie Adrianna Wen, DNP, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 409 Grant Ave Unit 315, Jersey City, NJ 07305 Phone: 917-828-1689
Mr. Anthony A Adeyinka, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Harborside Financial Center, Plaza 10, Suite 803, Jersey City, NJ 07311 Phone: 973-202-4290 Fax: 973-762-4140
Mrs. Claire Helene Handler, NP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2520 John F Kennedy Blvd, Jersey City, NJ 07304 Phone: 201-434-2618
Etienne Kenfack, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 191 Palisade Ave, Jersey City, NJ 07306 Phone: 201-656-4324 Fax: 201-656-4019
Yanet Montiel Garnica, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 377 Jersey Ave Ste 310, Jersey City, NJ 07302 Phone: 201-499-3900
Larisa Rodriguez, DNP, CNM, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Christopher Columbus Dr, Jersey City, NJ 07302 Phone: 201-451-6300 Fax: 201-451-8300
Madelyn Cordero, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 142 Palisade Ave, Jersey City, NJ 07306 Phone: 201-653-4247

Ibrahima T Diallo, APN - Medicare Nurse Practitioner in Jersey City, NJ