Hazlet Medical Services LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HAZLET MEDICAL SERVICES LLC

Practice address

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

Phone

(732) 217-3208

Fax

(732) 217-3107

NPI assigned

Jun 13, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Ranya Elfawwal

Title

Office Manager

Phone

(732) 217-3208

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11734/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elsayed A Sahloul, MD

  • Internal Medicine Physician
  • Hazlet, NJ
  • NPI 1467452565

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1770997140",
    "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": {
        "organization_name": "HAZLET MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "ELFAWWAL",
        "authorized_official_first_name": "RANYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-217-3208",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444740",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8688206",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Haverlin, RPH
• Hazlet Family Dental
• Hazlet Garden Group, LLC (Anchor Care and Rehabilitation Center)
• Hazlet Health Care
• Hazlet Manor Associates (Regency Park Nursing Center)
• Hazlet Medical Supplies
• Hazlet Pharmacy Inc.
• Hazlet Township Public Schools
• Hazlet-Aberdeen Health Department
• He-Yeun Kahng, M.D.

• Internal Medicine Physician in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.