IBRAHIM KAK MD
NPI 1093343188
General Practice in Edison, NJ

Active since April 01, 2020PECOS Enrolled

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2024, Jul 19, 2023, Apr 1, 2020 (3 updates tracked since 2020).

About Ibrahim Kak Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IBRAHIM KAK MD (NPI 1093343188) is an individual general practice provider in Edison, New Jersey, licensed in New Jersey (25MA11798300) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1093343188
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameIBRAHIM KAKCredential: MD
Location Address65 JAMES STEdison, NJ 08820-3947
Mailing Address65 James StEdison, NJ 08820-3947
Sole ProprietorNo
Enumeration DateApril 1, 2020
Last NPPES UpdateJuly 19, 20243 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
✔ NPI 1093343188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NJ · 25MA11798300
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPediatricsTaxonomy 208000000X · License 25MA11798300 (NJ), 327924 (NY)
65 JAMES ST, Edison, NJ 08820

Secondary Practice Location 1

Location 11650 Grand ConcourseBronx, NY 10457-7679 · Phone (718) 992-7669

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ibrahim Kak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ibrahim Kak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
Psychiatry
1276 FULTON AVE
Bronx, NY 10456
  • Reassigned Medicare billing, New York enrollment
  • 795 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner (Gerontology)
65 JAMES ST
EDISON, NJ 08820
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Physical Therapist
65 JAMES ST
EDISON, NJ 08820
Emergency Medicine
65 JAMES ST
EDISON, NJ 08820
Physical Medicine & Rehabilitation (Brain Injury Medicine)
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner
65 JAMES ST
EDISON, NJ 08820
Psychologist
65 JAMES ST
EDISON, NJ 08820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ibrahim Kak's NPI number?

The NPI number for Ibrahim Kak is 1093343188. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Ibrahim Kak located?

Ibrahim Kak practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 321-7000.

What is Ibrahim Kak's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ibrahim Kak enrolled in Medicare?

Yes. Ibrahim Kak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ibrahim Kak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ibrahim Kak reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Bronxcare Health System (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ibrahim Kak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ibrahim Kak accept?

Health plans from Oscar Health list Ibrahim Kak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ibrahim Kak was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.