1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Physician Assistant
  6. NPI Profile

KRISTEN ALYSSA IBRAHIM
NPI 1821788951
Physician Assistant in New York, NY

Active since May 11, 2023PECOS Enrolled
125 MAIDEN LN RM 6B, NEW YORK, NY 10038(212) 480-9500 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, May 11, 2023 (2 updates tracked since 2023).

About Kristen Alyssa Ibrahim NPPES

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

KRISTEN ALYSSA IBRAHIM (NPI 1821788951) is an individual physician assistant in New York, New York and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1821788951
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTEN ALYSSA IBRAHIM
Location Address125 MAIDEN LN RM 6BNew York, NY 10038-4715
Mailing Address125 Maiden Ln Rm 6bNew York, NY 10038-4715 · (212) 480-9500
Phone(212) 480-9500
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 11, 2023
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1821788951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
125 MAIDEN LN RM 6B, New York, NY 10038
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 (PECOS)

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

PECOS PAC ID8527549450
PECOS Enrollment IDI20260227001952
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 10038 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

VIVIFY MEDICAL PLLC
Internal Medicine (Cardiovascular Disease)
125 MAIDEN LN RM 6B
NEW YORK, NY 10038
New York County (718) 732-3634
AMNON BENIAMINOVITZ MD PC
Internal Medicine (Cardiovascular Disease)
125 MAIDEN LN RM 6B
NEW YORK, NY 10038
New York County (212) 480-9500
AMNON BENIAMINOVITZ M.D.
Internal Medicine (Cardiovascular Disease)
125 MAIDEN LN RM 6B
NEW YORK, NY 10038
New York County (212) 480-9500

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 Kristen Ibrahim's NPI number?

The NPI number for Kristen Ibrahim is 1821788951. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Kristen Ibrahim located?

Kristen Ibrahim practices at 125 Maiden Ln Rm 6B, New York, NY 10038. The listed phone number is (212) 480-9500.

What is Kristen Ibrahim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristen Ibrahim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kristen Ibrahim was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.