Individual provider Active NPI

Bassam Emile Hashem, M.D

  • Internal Medicine Physician
  • Wayne, NJ
National Provider Identifier
1003900242
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08311600 Issued in NJ
Practice address
224 Hamburg Tpke Ste 4023
Wayne, NJ 07470
Phone
(727) 501-5729
Fax
(201) 389-3619
NPI assigned
Oct 3, 2006
Last updated
Jul 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 70569 FL
Internal Medicine Physician 207R00000X 25MA08311600 NJ Primary

Addresses

Primary practice location

224 Hamburg Tpke Ste 4023
Wayne, NJ 07470

Mailing address

301 Westgate Rd
Ridgewood, NJ 07450-4724
Phone (727) 501-5729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090331000399 NJ Practitioner - Internal Medicine 4587665062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inhospital Physicians Corp of New Jersey, PCGroup PAC ID 2264781780, 20 clinicians

Practice addresses (Care Compare)

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70569FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihpnj ER LLC CurrentSince May 1, 2025 Accepting new patients
Select Specialty Hospital - Northeast New Jersey Inc Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

96 Parkway
Rochelle Park, NJ 07662
Phone (201) 221-2351

610 Sentry Pkwy
Bldg 660
Blue Bell, PA 19422

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1003900242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WESTGATE RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504724",
            "telephone_number": "727-501-5729",
            "fax_number": "201-389-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 HAMBURG TPKE STE 4023",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "727-501-5729",
            "fax_number": "201-389-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHEM",
        "first_name": "BASSAM",
        "middle_name": "EMILE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "70569",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08311600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.