IBRAHIM KAK MD
NPI 1093343188
General Practice in Edison, NJ

Q: 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.

Q: What is Ibrahim Kak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ibrahim Kak was last updated on July 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2020PECOS Enrolled

65 JAMES ST, EDISON, NJ 08820(732) 321-7000 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

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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

Phone(732) 321-7000

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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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