| Dr Shadwa Elsayed Hassan, DO | |
|
14 Snowhill St Ste A, Spotswood, NJ 08884-1358 | |
| (732) 956-8934 | |
| (732) 347-7731 |
| Full Name | Dr Shadwa Elsayed Hassan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 14 Snowhill St Ste A, Spotswood, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437536349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 294085 (New York) | Secondary |
| 208000000X | Pediatrics | 25MB10912700 (New Jersey) | Primary |
| Entity Name | Sun River Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
| Entity Name | Physicians Of University Hospital Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417901323 PECOS PAC ID: 5890877542 Enrollment ID: O20080204000002 |
| Entity Name | Brightpoint Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003093436 PECOS PAC ID: 6800951989 Enrollment ID: O20090225000068 |
| Entity Name | Amboy Medical Practice, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700037975 PECOS PAC ID: 2860538170 Enrollment ID: O20090930000024 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shadwa Elsayed Hassan, DO 14 Snowhill St Ste A, Spotswood, NJ 08884-1358 Ph: (732) 956-8934 | Dr Shadwa Elsayed Hassan, DO 14 Snowhill St Ste A, Spotswood, NJ 08884-1358 Ph: (732) 956-8934 |