Individual provider Active NPI

Hisham Mohamed Hamza, M.D.

  • Pediatrics Physician
  • Toms River, NJ
National Provider Identifier
1154439610
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA07144300 Issued in NJ
Practice address
558 Commons Way
Building E
Toms River, NJ 08755-6432
Phone
(732) 736-0110
Fax
(732) 736-0990
NPI assigned
Aug 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA07144300 NJ Primary

Addresses

Primary practice location

558 Commons Way
Building E
Toms River, NJ 08755-6432

Mailing address

196 Edgemere CT
Toms River, NJ 08755-0933
Phone (732) 914-0477

Other identifiers 1

IdentifierTypeStateIssuer
8352909MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07144300NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayshore Pediatrics,L.L.C. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154439610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 EDGEMERE CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087550933",
            "telephone_number": "732-914-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 COMMONS WAY",
            "address_2": "BUILDING E",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556432",
            "telephone_number": "732-736-0110",
            "fax_number": "732-736-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMZA",
        "first_name": "HISHAM",
        "middle_name": "MOHAMED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07144300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8352909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.