Physician Compare National (NPI:1730198854)

HEALTHCARE PROVIDER: AHMAD HAJ-IBRAHIM MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1730198854
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284750605
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100923000047
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAJ-IBRAHIM
	Individual professional last name
Provider First Name	AHMAD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	691 DELAWARE AVE
	Group Practice or individual's line 1 address
City	ROEBLING
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	085542001
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y