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DR. MARYAM IBRAHIM AGNP-BC
NPI 1407231012
Nurse Practitioner - Adult Health in Freehold, NJ

Active since July 24, 2015PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
901 W MAIN ST, FREEHOLD, NJ 07728(732) 866-0800(732) 866-0018 Get Directions Write a Review

NPPES record last updated: August 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Maryam Ibrahim Agnp-bc NPPES

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

DR. MARYAM IBRAHIM AGNP-BC (NPI 1407231012) is an individual adult health provider in Freehold, New Jersey, licensed in New York (F307226-1) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1407231012
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDR. MARYAM IBRAHIMCredential: AGNP-BC
Location Address901 W MAIN STFreehold, NJ 07728-2537
Mailing Address901 W Main StFreehold, NJ 07728-2537 · (732) 866-0800 · Fax (732) 866-0018
Phone(732) 866-0800
Fax(732) 866-0018
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 24, 2015
Last NPPES UpdateAugust 21, 2022
NPPES CertifiedAugust 21, 2022
✔ NPI 1407231012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F307226-1
901 W MAIN ST, Freehold, NJ 07728
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Maryam Ibrahim Agnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224308796
PECOS Enrollment IDI20170717003284
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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.

DR. ANTONIOUS SHERIF FAWZY DO
Internal Medicine
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 431-2000
CYNTHIA LYNN KINSELLA
Community Health Worker
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 308-0570
DEBORAH A FOLEY FNP-BC
Nurse Practitioner (Family)
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 431-2000
AMIT S KHAROD MD
Surgery
901 W MAIN ST, SUITE 107
FREEHOLD, NJ 07728
Monmouth County (732) 308-4202
YEVGAS PRECESION SERVICES
Surgery
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 742-5084
DIANE YACONO NP
Nurse Practitioner (Adult Health)
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 294-2674
BARRY FRIEDENBERG M.D.
Radiology (Diagnostic Radiology)
901 W MAIN ST, MEDICAL ARTS BUILDING
FREEHOLD, NJ 07728
Monmouth County (732) 462-3302
BOKRAN WON M.D.
Radiology (Diagnostic Radiology)
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 294-2934

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 Maryam Ibrahim's NPI number?

The NPI number for Maryam Ibrahim is 1407231012. It was assigned to this individual provider in the NPPES registry on July 24, 2015.

Where is Maryam Ibrahim located?

Maryam Ibrahim practices at 901 W Main St, Freehold, NJ 07728. The listed phone number is (732) 866-0800.

What is Maryam Ibrahim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Maryam Ibrahim enrolled in Medicare?

Yes. Maryam Ibrahim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Maryam Ibrahim was last updated on August 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.