Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Candace Ibrahim

Individual provider Psychiatry Physician · NPI 1548720055

Candace Ibrahim is a Nurse Practitioner in Lawrenceville, New Jersey. Qualified in 2020, 6 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2019
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Practice location Address checks out

22 Gordon Ave
Lawrenceville, NJ 08648-1033
Phone: (609) 844-0452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1315 Whitehorse Mercerville Rd Ste 100, Hamilton, NJ 08619-3815 — (609) 581-5910

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 26NJ00911600 (NJ)

Record details

NPI number1548720055
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 21, 2019
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021
Mailing address18 Laurel Dr, Wrightstown, NJ 08562-2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lawrenceville