Individual provider Active NPI

Haytham Hamwi, MD

  • Pediatrics Physician
  • National Park, NJ
National Provider Identifier
1548580137
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA10570600 Issued in NJ
Practice address
700 Mullica Hill Road
National Park, NJ 08063
Phone
(856) 508-1000
Fax
(302) 651-4945
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0070714 MD
Hospitalist Physician 208M00000X C10010435 DE
Hospitalist Physician 208M00000X ME138103 FL
Pediatrics Physician 208000000X 25MA10570600 NJ Primary

Addresses

Primary practice location

700 Mullica Hill Road
National Park, NJ 08063

Mailing address

PO Box 191
Rockland, DE 19732-0191
Phone (302) 651-6212

Other practice location 1

13535 Nemours Pkwy
Orlando, FL 32827-7402
Phone (407) 567-4000

Other identifiers 1

IdentifierTypeStateIssuer
101845900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20141113001333 DE Practitioner - Pediatric Medicine 5092937706 Reassigns benefits to 1 organization
I20181009001475 MD Practitioner - Pediatric Medicine 5092937706 Reassigns benefits to 1 organization
I20190903001750 NJ Practitioner - Hospitalist 5092937706 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0070714MDMDPediatrics Physician
C10010435DEMDHospitalist Physician
ME138103FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Oct 1, 2014 Accepting new patients
Nemours New Jersey Physician Practice, P.C. Pediatrics CurrentSince Jul 13, 2019 Accepting new patients
Union Hospital of Cecil County CurrentSince Oct 1, 2018 Accepting new patients
Union Hospital of Cecil County, Inc CurrentSince Oct 1, 2018 Accepting new patients
The Nemours Foundation CurrentSince Oct 1, 2014 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Union Hospital of Cecil County Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients

Locations

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

1600 Rockland Rd
Wilmington, DE 19803

210 Chesapeake Blvd
Elkton, MD 21921

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

1280 Almonesson Rd
Woodbury, NJ 08096
Phone (856) 345-1401

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1548580137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-6212",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MULLICA HILL ROAD",
            "city": "NATIONAL PARK",
            "state": "NJ",
            "postal_code": "08063",
            "telephone_number": "856-508-1000",
            "fax_number": "302-651-4945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13535 Nemours Pkwy",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277402",
            "country_code": "US",
            "telephone_number": "407-567-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMWI",
        "first_name": "HAYTHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0070714",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "DE",
            "license": "C10010435",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME138103",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10570600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101845900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National Park, NJ

Sources for this page

Verify at the official NPI Registry.