MS. INTISAR IBRAHIM DNP, FNP, PMHNP-BC
NPI 1912335191
Nurse Practitioner - Psychiatric/Mental Health in Paterson, NJ

Q: What is Intisar Ibrahim's NPI number?

The NPI number for Intisar Ibrahim is 1912335191. It was assigned to this individual provider in the NPPES registry on October 24, 2013.

Q: What is Intisar Ibrahim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Intisar Ibrahim was last updated on November 10, 2023. 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.

Active since October 24, 2013PECOS EnrolledAccepts Medicare Assignment

318 21ST AVE STE 103, PATERSON, NJ 07501(201) 233-2999(334) 373-4231 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2023, Apr 12, 2022, Sep 15, 2016 (3 updates tracked since 2016).

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About Ms. Intisar Ibrahim Dnp, Fnp, Pmhnp-bc NPPES

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

MS. INTISAR IBRAHIM DNP, FNP, PMHNP-BC (NPI 1912335191) is an individual psychiatric/mental health provider in Paterson, New Jersey, licensed in New Jersey (26NJ00467900) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1912335191

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. INTISAR IBRAHIMCredential: DNP, FNP, PMHNP-BC

Location Address318 21ST AVE STE 103Paterson, NJ 07501-3538

Mailing Address318 21st Ave Ste 103Paterson, NJ 07501-3538 · (201) 233-2999 · Fax (334) 373-4231

Phone(201) 233-2999

Fax(334) 373-4231

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 24, 2013

Last NPPES UpdateNovember 10, 20233 updates tracked since enumeration

NPPES CertifiedNovember 10, 2023

✔ NPI 1912335191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NJ · 26NJ00467900

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ00467900 (NJ)

318 21ST AVE STE 103, Paterson, NJ 07501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Ms. Intisar Ibrahim Dnp, Fnp, Pmhnp-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 ID3072890086

PECOS Enrollment IDI20170522002830

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 07501 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

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 Intisar Ibrahim's NPI number?

The NPI number for Intisar Ibrahim is 1912335191. It was assigned to this individual provider in the NPPES registry on October 24, 2013.

Where is Intisar Ibrahim located?

Intisar Ibrahim practices at 318 21st Ave Ste 103, Paterson, NJ 07501. The listed phone number is (201) 233-2999.

What is Intisar Ibrahim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Intisar Ibrahim enrolled in Medicare?

Yes. Intisar 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.

What insurance does Intisar Ibrahim accept?

Health plans from Providence Health Plan list Intisar Ibrahim 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 Intisar Ibrahim was last updated on November 10, 2023. 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.