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

Dr. Mina Aziz Ibrahim, MD

Individual provider Surgery Physician · NPI 1497289342

Dr. Mina Aziz Ibrahim, MD is a General Surgery in New York, New York. Qualified in 2017, 9 years ago. Practices with Montclair Surgical Associates PA, a 6-clinician group. Licensed in New Jersey and New York.

Years since qualifying
9
Licensed in
NJ, NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1060 5th Ave # 1B
New York, NY 10128-0104
Phone: (212) 988-8269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 336278-01 (NY)
Surgery Physician Taxonomy 208600000X · Licence 25MA11703000 (NJ)

Record details

NPI number1497289342
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2017
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Montclair Surgical Associates Pa — 6 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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