Bayshore Pediatrics,L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA71443 Issued in NJ

Legal business name

BAYSHORE PEDIATRICS,L.L.C.

Practice address

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

Phone

(732) 736-0110

Fax

(732) 736-0990

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hisham M Hamza, M.D.NPI 1154439610

Title

Owner

Phone

(732) 736-0110

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hisham Mohamed Hamza, M.D.

  • Pediatrics Physician
  • Toms River, NJ
  • NPI 1154439610
  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285775726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "BAYSHORE PEDIATRICS,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMZA",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-736-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA71443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.