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

Ibraheim Ayub, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659121598

Ibraheim Ayub, DO is a Dermatology in Waterbury, Connecticut. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2024, 2 years ago. Registered with an NPI since 2024.

Years since qualifying
2
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

160 Robbins St
Waterbury, CT 06708-2652
Phone: (203) 573-7284
Fax: (203) 573-7031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1659121598
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address64 Robbins St, Waterbury, CT 06708-2600

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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