Individual provider Active NPI

Hisham Elgenaidi, MD

  • Transplant Hepatology Physician
  • Cherry Hill, NJ
National Provider Identifier
1073573663
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Hepatology PhysicianTaxonomy code 207RT0003X
License
25MA07809900 Issued in NJ
Practice address
63 Kresson Rd Ste 101C
Cherry Hill, NJ 08034-3200
Phone
(856) 796-9340
Fax
(856) 547-0390
NPI assigned
Mar 27, 2006
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hepatology Physician 207RI0008X 25MA07809900 NJ
Transplant Hepatology Physician 207RT0003X 25MA07809900 NJ Primary

Addresses

Primary practice location

63 Kresson Rd Ste 101C
Cherry Hill, NJ 08034-3200

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 796-9340

Other practice location 1

3242 Route 206 Bldg A
Bordentown, NJ 08505-4517
Phone (856) 796-9340

Other practice location 2

1601 Haddon Ave Ste C
Camden, NJ 08103-3109
Phone (856) 757-3840

Other practice location 3

63 Kresson Rd Ste 104C
Cherry Hill, NJ 08034-3200
Phone (856) 796-9340

Other practice location 4

239 Hurffville Crosskeys Rd Ste 460B
Sewell, NJ 08080-4009
Phone (856) 796-9340

Other practice location 5

1201 New Rd Ste 150F
Linwood, NJ 08221-1100
Phone (856) 796-9340

Other identifiers 1

IdentifierTypeStateIssuer
0055280MedicaidNJ

Electronic endpoints 8

TypeEndpointUseAffiliation
Direct Messaging Address helgenaidi106405@directvirtua.org
Direct Messaging Address helgenaidi106405@directvirtua.org
Direct Messaging Address helgenaidi106405@directvirtua.org
Direct Messaging Address helgenaidi106405@directvirtua.org
Direct Messaging Address helgenaidi106405@directvirtua.org
Direct Messaging Address helgenaidi106405@directvirtua.org
Direct Messaging Address helgenaidi106405@directvirtua.org
Direct Messaging Address helgenaidi106405@directvirtua.org

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
I20050127000349 NJ Practitioner - Internal Medicine 6800846882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1201 New Rd
Linwood, NJ 08221-1100

1600 Haddon Ave
Camden, NJ 08103-3101

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07809900NJMDTransplant Hepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regal Heart Hospice Corporation Current Accepting new patients
Virtua Medical Group, PA Transplant Hepatology CurrentSince Nov 1, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2020 Accepting new patients
Virtua - Memorial Hospital Burlington County, Inc. Past Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Past Accepting new patients
Lourdes Medical Associates, PA Hepatology PastSince Oct 9, 2006 Accepting new patients
Clinical Staffing Solutions P.C. Past Accepting new patients
Hera Inpatient Services Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

63 Kresson Rd
Ste 101C
Cherry Hill, NJ 08034

1201 New Rd
Ste 150F
Linwood, NJ 08221

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

1198 Route 166
Ste 2
Toms River, NJ 08753
Phone (732) 784-6550

101 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-3000

Interoperability endpoints

  • Direct secure messaging: helgenaidi106405@directvirtua.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Transcend Hospice and Palliative CareSewell, NJ, CCN 311582 Hospice 5% Or Greater Direct Ownership Interest (33%)
Corporate Officer
Corporate Director
Oct 28, 2016
Oct 28, 2016
Oct 28, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 6

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1073573663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-796-9340",
            "fax_number": "856-547-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 KRESSON RD STE 101C",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343200",
            "telephone_number": "856-796-9340",
            "fax_number": "856-547-0390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3242 Route 206 Bldg A",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "085054517",
            "country_code": "US",
            "telephone_number": "856-796-9340",
            "fax_number": "856-547-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Haddon Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081033109",
            "country_code": "US",
            "telephone_number": "856-757-3840",
            "fax_number": "856-757-3519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 Kresson Rd Ste 104C",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080343200",
            "country_code": "US",
            "telephone_number": "856-796-9340",
            "fax_number": "856-547-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 460B",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804009",
            "country_code": "US",
            "telephone_number": "856-796-9340",
            "fax_number": "856-547-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 New Rd Ste 150F",
            "address_purpose": "LOCATION",
            "city": "Linwood",
            "state": "NJ",
            "postal_code": "082211100",
            "country_code": "US",
            "telephone_number": "856-796-9340",
            "fax_number": "856-547-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELGENAIDI",
        "first_name": "HISHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "NJ",
            "license": "25MA07809900",
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "NJ",
            "license": "25MA07809900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055280",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "helgenaidi106405@directvirtua.org",
            "affiliation": "N",
            "address_1": "1198 Route 166 Ste 2",
            "city": "Toms River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087532243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "helgenaidi106405@directvirtua.org",
            "affiliation": "N",
            "address_1": "1601 Haddon Ave Ste C",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081033109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "helgenaidi106405@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 460B",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "helgenaidi106405@directvirtua.org",
            "affiliation": "N",
            "address_1": "1201 New Rd Ste 150F",
            "city": "Linwood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082211100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "helgenaidi106405@directvirtua.org",
            "affiliation": "N",
            "address_1": "63 Kresson Rd Ste 101C",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080343200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "helgenaidi106405@directvirtua.org",
            "affiliation": "N",
            "address_1": "3242 Route 206, Building A Suite A-4",
            "city": "Bordentown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "helgenaidi106405@directvirtua.org",
            "affiliation": "N",
            "address_1": "63 Kresson Road",
            "address_2": "Suite 105",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "helgenaidi106405@directvirtua.org",
            "affiliation": "N",
            "address_1": "63 Kresson Rd Ste 104C",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080343200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.