Individual provider Active NPI

Hazem Shuaeib

  • Oral and Maxillofacial Surgery (Dentist)
  • Bethlehem, PA
National Provider Identifier
1992334908
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS042836 Issued in PA
Practice address
1521 8TH Ave Ste 101
Bethlehem, PA 18018-1893
Phone
(610) 865-8077
NPI assigned
Apr 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS042836 PA Primary

Addresses

Primary practice location

1521 8TH Ave Ste 101
Bethlehem, PA 18018-1893

Mailing address

242 Prospect St
Nutley, NJ 07110-2671
Phone (973) 710-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616000475 PA Practitioner - Oral SurgeryPractitioner - Dentist 6002327277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1521 8TH Ave
Bethlehem, PA 18018-1893

1528 8TH Ave
Suite 101
Bethlehem, PA 18018-1893
Phone (610) 865-8077

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 1, 2025 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

1028 N 19th St
Allentown, PA 18104
Phone (610) 439-0195

1620 Pond Rd
Allentown, PA 18104

1521 8th Ave
Ste 101
Bethlehem, PA 18018

3360 Nazareth Rd
Easton, PA 18045
Phone (610) 253-3593

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1419 N 9th St
Stroudsburg, PA 18360
Phone (570) 424-7644

Interoperability endpoints

  • Direct secure messaging: hshuaeib345433@direct-sluhn.org

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1992334908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 PROSPECT ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102671",
            "telephone_number": "973-710-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 8TH AVE STE 101",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181893",
            "telephone_number": "610-865-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUAEIB",
        "first_name": "HAZEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS042836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.