Provider Demographics
NPI:1801094099
Name:ELSHOREYA, HAZEM M (MD)
Entity type:Individual
Prefix:
First Name:HAZEM
Middle Name:M
Last Name:ELSHOREYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:
Practice Address - Street 1:2 SPLIT ROCK DR STE 1
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-1244
Practice Address - Country:US
Practice Address - Phone:856-317-6000
Practice Address - Fax:856-666-0123
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA079764207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1597784OtherAETNA
NJ010078329OtherAMERICHOICE
NJ0781504000OtherAMERIHEALTH/KEYSTONE/IBC
NJ60033791OtherHORIZON NJ HEALTH
NJ7969506OtherCIGNA
NJ1598072OtherAETNA
NJ60033790OtherHORIZON NJ HEALTH
NJ0136077Medicaid
NJ2802708OtherUNITED HEALTHCARE
NJP3807798OtherOXFORD
NJ60033790OtherHORIZON NJ HEALTH
NJ0136077Medicaid