| Ms Intisar Ibrahim, DNP, FNP, PMHNP-BC | |
|
318 21st Ave Ste 103, Paterson, NJ 07501-3538 | |
| (201) 233-2999 | |
| (334) 373-4231 |
| Full Name | Ms Intisar Ibrahim |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 318 21st Ave Ste 103, Paterson, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912335191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ00467900 (New Jersey) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ00467900 (New Jersey) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hamilton Behavioral Md Pa | 8426294216 | 30 |
| Entity Name | Wayne Behavioral Service Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487677795 PECOS PAC ID: 8820097561 Enrollment ID: O20061207000159 |
| Entity Name | G&s Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982982336 PECOS PAC ID: 0244404697 Enrollment ID: O20111121000313 |
| Entity Name | Hamilton Behavioral Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548500408 PECOS PAC ID: 8426294216 Enrollment ID: O20130424000314 |
| Entity Name | Garden State Counseling, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871901801 PECOS PAC ID: 1850617119 Enrollment ID: O20150303002076 |
| Entity Name | Bmg East Orange Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659882082 PECOS PAC ID: 5193063154 Enrollment ID: O20190218000309 |
| Entity Name | Hamilton Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720745060 PECOS PAC ID: 2365975505 Enrollment ID: O20241028001001 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Intisar Ibrahim, DNP, FNP, PMHNP-BC 318 21st Ave Ste 103, Paterson, NJ 07501-3538 Ph: (201) 233-2999 | Ms Intisar Ibrahim, DNP, FNP, PMHNP-BC 318 21st Ave Ste 103, Paterson, NJ 07501-3538 Ph: (201) 233-2999 |
Susan Mugalu, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-0000 | |
Diane E Mcclure, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2555 Fax: 973-754-2567 | |
Cynthia Dayrit -demetillo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1040 Main St, Paterson, NJ 07503 Phone: 973-782-6615 Fax: 973-782-6618 | |
Mrs. Kathleen Ann Connolly, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 393 Main St, Paterson, NJ 07501 Phone: 973-523-6220 Fax: 973-825-7201 | |
Mr. Michael Pasquale, MSN, RN, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-3857 | |
Nidia Ortega, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Park Ave, Paterson, NJ 07504 Phone: 973-684-8138 Fax: 973-684-0032 | |
Kassidy Katona, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 680 Broadway Ste 104, Paterson, NJ 07514 Phone: 973-239-9400 |