Individual provider Active NPI

Hisham Hashish, MD

  • Family Medicine Physician
  • Midland Park, NJ
National Provider Identifier
1285718817
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA08688500 Issued in NJ
Practice address
33 Central Ave
Midland Park, NJ 07432-1401
Phone
(201) 848-8000
Fax
(201) 625-6464
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA08688500 NJ Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD2008-0633 NM
Pain Medicine Physician 208VP0000X MA08688500 NJ

Addresses

Primary practice location

33 Central Ave
Midland Park, NJ 07432-1401

Mailing address

33 Central Ave
Midland Park, NJ 07432-1401
Phone (201) 848-8000

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
I20150722005153 NJ Practitioner - General PracticePractitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 5395715809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pain Management, Physical Medicine and Rehabilitation
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medwell LLCGroup PAC ID 9931189776, 11 clinicians

Practice addresses (Care Compare)

33 Central Ave
Midland Park, NJ 07432-1401
Phone (201) 819-1081

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA08688500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hisham Hashish Corporation Current Accepting new patients
Medwell LLC Pain Medicine CurrentSince May 1, 2015 Accepting new patients
Las Cruces Pathology Associates LLC Anatomic Pathology & Clinical Pathology PastSince Mar 2, 2009 Accepting new patients

Locations

33 Central Ave
Midland Park, NJ 07432
Phone (201) 447-9022

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1285718817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CENTRAL AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321401",
            "telephone_number": "201-848-8000",
            "fax_number": "201-625-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CENTRAL AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321401",
            "telephone_number": "201-848-8000",
            "fax_number": "201-625-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHISH",
        "first_name": "HISHAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA08688500",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NM",
            "license": "MD2008-0633",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "MA08688500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland Park, NJ

Sources for this page

Verify at the official NPI Registry.