NPIMap

Individual provider Active NPI

Elsayed A Sahloul, MD

  • Internal Medicine Physician
  • Hazlet, NJ
National Provider Identifier
1467452565
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07118000 Issued in NJ
Practice address
1 Bethany Rd
BLDG #2, Ste #25
Hazlet, NJ 07730-1660
Phone
(732) 217-3208
Fax
(732) 217-3107
NPI assigned
Jul 29, 2005
Last updated
Dec 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07118000 NJ Primary
Hepatology Physician 207RI0008X 25MA071180 NJ
Hospitalist Physician 208M00000X MD451598 PA

Addresses

Primary practice location

1 Bethany Rd
BLDG #2, Ste #25
Hazlet, NJ 07730-1660

Mailing address

1 Bethany Rd
BLDG #2, Ste #25
Hazlet, NJ 07730-1660
Phone (732) 217-3208

Other identifiers 2

IdentifierTypeStateIssuer
8688206MedicaidNJ
0444740MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040514000135 NJ Practitioner - Internal Medicine 2567452394 Reassigns benefits to 1 organization
I20140521002275 PA Practitioner - Internal Medicine 2567452394 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Bethany Rd
Suite 25
Hazlet, NJ 07730-1660
Phone (732) 217-3208

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA071180NJMDHepatology Physician
MD451598PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona CurrentSince Nov 2, 2016 Accepting new patients
The Milton S Hershey Medical Center Physician Group Multi-Specialty CurrentSince May 13, 2019 Accepting new patients
Upmc Altoona Multi-Specialty CurrentSince Nov 2, 2016 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Multi-Specialty CurrentSince May 13, 2019 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Multi-Specialty Current Accepting new patients
Hazlet Medical Services LLC Multi-Specialty CurrentSince Nov 12, 2014 Accepting new patients
West Jersey Medical Service Inc Multi-Specialty Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Crescent Mulispeciality Group LLC Multi-Specialty PastSince Sep 1, 2003 Accepting new patients
Wheatland Inpatient Services Multi-Specialty Past Accepting new patients

Locations

1 Bethany Rd
Ste 25
Hazlet, NJ 07730
Phone (732) 217-3208

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

Interoperability endpoints

  • Direct secure messaging: elsayed.sahloul.1@11734.direct.athenahealth.com
  • Direct secure messaging: esahloul425439@direct.ahsys.org
  • FHIR API: https://api.platform.athenahealth.com/11734/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1467452565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD",
            "address_2": "BLDG #2, STE #25",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301660",
            "telephone_number": "732-217-3208",
            "fax_number": "732-217-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD",
            "address_2": "BLDG #2, STE #25",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301660",
            "telephone_number": "732-217-3208",
            "fax_number": "732-217-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHLOUL",
        "first_name": "ELSAYED",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07118000",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "NJ",
            "license": "25MA071180",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD451598",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8688206",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444740",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.