DR. MARYAM IBRAHIM AGNP-BC
NPI 1407231012
Nurse Practitioner - Adult Health in Freehold, NJ
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Maryam Ibrahim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 172 clinicians in this Medicare group
Staten Island, NY 10314
- Reassigned Medicare billing, New York enrollment
- 1,615 clinicians in this Medicare group
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 1,177 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.
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.
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.
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.
FREEHOLD, NJ 07728
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.
Which organizations bill Medicare for Maryam Ibrahim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Ibrahim reassigns Medicare benefits to 3 organizations: Robert Wood Johnson Physician Enterprise (Somerset, NJ), New York City Health And Hospitals Corporation (Staten Island, NY) and Maimonides Faculty Practice Plan (Brooklyn, 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 Maryam Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 4 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.
# Dr. Maryam Ibrahim, AGNP-BC · NPI 1407231012
Adult Health physician in Freehold, New Jersey. Individual provider, active in the CMS NPPES registry since July 24, 2015.
## Identity
- **NPI:** 1407231012 (Entity type: Individual)
- **Enumerated:** July 24, 2015
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F307226-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 W MAIN ST, Freehold, NJ 07728-2537
- **Phone:** (732) 866-0800 · **Fax:** (732) 866-0018
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Robert Wood Johnson Physician Enterprise (NPI 1245587922, Somerset, NJ); New York City Health And Hospitals Corporation (NPI 1285642512, Staten Island, NY); Maimonides Faculty Practice Plan (NPI 1053344846, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 21, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1407231012) · Data from the CMS NPPES public registry.