Active NPI 1457957615 Individual Practitioner Male Practitioner

Mohamed Imran Ibrahim

Licensed Practical Nurse • Peekskill, NY

Professional Overview & Biography Verified Profile Summary

Mohamed Ibrahim is a registered healthcare professional specializing in Licensed Practical Nurse in Peekskill, NY. Practice services are available at 3 CORPORATE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3 Corporate Dr

Peekskill, NY 105661846

Telephone 9142573500

Associated Practice Facility / Clinic

🏢 Lexington Center For Recovery, Inc. Facility NPI 1487709671

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Peekskill, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 8.0 Yrs

Regional Practice Density

49 Specialists

Practicing in Peekskill, NY (23738 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-11

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 337177

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners

Judith Curcio

Counselor - Addiction (Substance Use Disorder)

NPI 1083063804

Matthew Brown , CASACT

Counselor - Mental Health

NPI 1174496335

Gwendolyn Daniels

Registered Nurse

NPI 1376991323

Chanel Sinclair-Diongue

Registered Nurse

NPI 1407570336

Jacqueline Burgess , CRPA

Peer Specialist

NPI 1437830452

Valerie Jackson

Registered Nurse

NPI 1457078883

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 11, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location December 11, 2020

Registered at 3 CORPORATE DR, PEEKSKILL, NY 105661846 (Tel: 9142573500)

📍

Updated Business Mailing Address December 11, 2020

Registered at 3 CORPORATE DR, PEEKSKILL, NY 105661846

👤

Provider Name / Credentials Updated December 11, 2020

Recorded as MOHAMED IBRAHIM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2020

Licensed Practical Nurse (License #337177 in NY)

🟢

Initial NPI Registration & Enumeration December 11, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1457957615

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 11, 2020

Last Update: December 11, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3 Corporate Dr

Peekskill, NY 105661846

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.