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

Shenouda Ibrahim, PA

Individual provider Physician Assistant · NPI 1588347389

Shenouda Ibrahim, PA is a Physician Assistant in Clifton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2023.

Licensed in
NJ
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1135 Main Ave
Clifton, NJ 07011-2353
Phone: (973) 928-3388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00802600 (NJ)

Record details

NPI number1588347389
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 8, 2023
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023
Mailing address22 Berkeley Ave, Belleville, NJ 07109-1470

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