Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Maryam Ibrahim, AGNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1407231012

Dr. Maryam Ibrahim, AGNP-BC is a Nurse Practitioner in Freehold, New Jersey. Qualified in 2015, 11 years ago. Practices with New York City Health and Hospitals Corporation, a 538-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

901 W Main St
Freehold, NJ 07728-2537
Phone: (732) 866-0800
Fax: (732) 866-0018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F307226-1 (NY)

Record details

NPI number1407231012
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-BC
Sole proprietorNo
NPI enumeratedJuly 24, 2015
Last updated in NPPESAugust 21, 2022
Certification dateAugust 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice New York City Health And Hospitals Corporation — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Freehold