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HAZLET MEDICAL SERVICES LLC
NPI 1770997140
Internal Medicine in Hazlet, NJ

Active since June 13, 2014CLIA 31D2110759 · Waiver
1 BETHANY RD, BLDG #2, STE #25, HAZLET, NJ 07730(732) 217-3208(732) 217-3107 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hazlet Medical Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAZLET MEDICAL SERVICES LLC (NPI 1770997140) is a healthcare organization registered as an internal medicine in Hazlet, New Jersey and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Ranya Elfawwal, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770997140
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHAZLET MEDICAL SERVICES LLC
Location Address1 BETHANY RD, BLDG #2, STE #25Hazlet, NJ 07730-1660
Mailing Address1 Bethany Rd, Bldg #2, Ste #25Hazlet, NJ 07730-1660 · (732) 217-3208 · Fax (732) 217-3107
Phone(732) 217-3208
Fax(732) 217-3107
Organization SubpartNo
Authorized OfficialRanya ElfawwalOffice Manager · (732) 217-3208
Enumeration DateJune 13, 2014
Last NPPES UpdateDecember 26, 2023
✔ NPI 1770997140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 BETHANY RD, Hazlet, NJ 07730
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Other Identifiers 2

Medicaid0444740NJ
Medicaid8688206NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2110759

Hazlet Medical Services, LLC · Hazlet, NJ
Active · expires Mar 22, 2028
CLIA Number31D2110759
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorElsayed A. Sahloul
Laboratory Phone(732) 217-3208
Laboratory LocationHazlet Medical Services, LLC1 Bethany Road Building 2, Suite 25, Hazlet, NJ 07730
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEAL RUDA M.D.
Pediatrics
1 BETHANY RD, BUILDING 5; SUITE 65
HAZLET, NJ 07730
Monmouth County (732) 264-0700
BAYSHORE WOUND CARE CENTER
Skilled Nursing Facility
1 BETHANY RD, BUILDING 3, SUITE 41
HAZLET, NJ 07730
Monmouth County (732) 203-9780
DR. STACI JOY ADDESSI D.C.
Chiropractor
1 BETHANY RD, SUITE 29 BUILDING 2
HAZLET, NJ 07730
Monmouth County (732) 739-3345
DR. NICOLE MARIE PANTANO D.O.
Pediatrics
1 BETHANY RD, BUILDING 5, SUITE 65
HAZLET, NJ 07730
Monmouth County (732) 264-0700
MEGAN MEGILL
Occupational Therapist
1 BETHANY RD
HAZLET, NJ 07730
Monmouth County (732) 335-4030
MS. SHAYLYN MAREE STILWELL M.S. ED, CCC-SLP
Speech-Language Pathologist
1 BETHANY RD, BLDG 5 STE 60
HAZLET, NJ 07730
Monmouth County (732) 888-3912
ALLIANCE PSYCHOLOGICAL COUNSELING LLC
Psychologist
1 BETHANY RD, SUITE 10B
HAZLET, NJ 07730
Monmouth County (732) 264-6611
MRS. ELYSSA DENTON LCSW
Social Worker (Clinical)
1 BETHANY RD
HAZLET, NJ 07730
Monmouth County (609) 309-7574

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hazlet Medical Services LLC's NPI number?

The NPI number for Hazlet Medical Services LLC is 1770997140. It was assigned to this organization in the NPPES registry on June 13, 2014.

Where is Hazlet Medical Services LLC located?

Hazlet Medical Services LLC is located at 1 Bethany Rd Bldg #2, Ste #25, Hazlet, NJ 07730. The listed phone number is (732) 217-3208.

What is Hazlet Medical Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Hazlet Medical Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2110759) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hazlet Medical Services LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Hazlet Medical Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hazlet Medical Services LLC was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.