Individual provider Active NPI

Essam El-Harazy, MD

  • Internal Medicine Physician
  • New Lisbon, NJ
National Provider Identifier
1801977533
Registry record updated May 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07260900 Issued in NJ
Practice address
NLDC Route 72
New Lisbon, NJ 08064
Phone
(609) 726-1000
Fax
(609) 726-1387
NPI assigned
Oct 18, 2006
Last updated
May 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07260900 NJ Primary

Addresses

Primary practice location

NLDC Route 72
New Lisbon, NJ 08064

Mailing address

116 Everturn LN
Levittown, PA 19054-2726
Phone (609) 203-2465

Other identifiers 1

IdentifierTypeStateIssuer
0220248MedicaidNJ

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
I20100503000298 NJ Practitioner - HospitalistPractitioner - Internal Medicine 4587792122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1676 E Landis Ave
Vineland, NJ 08361-2943
Phone (856) 696-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Dec 1, 2021 Accepting new patients
Virtua Medical Group, PA Internal Medicine Current Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2015 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

90 Brick Rd
Fl 3
Marlton, NJ 08053
Phone (856) 247-2160

1676 E Landis Ave
Vineland, NJ 08361
Phone (856) 696-6000

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273968000000",
    "number": "1801977533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 EVERTURN LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190542726",
            "telephone_number": "609-203-2465",
            "fax_number": "609-726-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NLDC ROUTE 72",
            "city": "NEW LISBON",
            "state": "NJ",
            "postal_code": "08064",
            "telephone_number": "609-726-1000",
            "fax_number": "609-726-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-HARAZY",
        "first_name": "ESSAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07260900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220248",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lisbon, NJ

Sources for this page

Verify at the official NPI Registry.