Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAZAM BACCHUS, APN
ActiveSHAZAM BACCHUS, APN is a Primary Care Nurse Practitioner healthcare provider located in NEWARK, New Jersey. NPI 1972133254 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · NEWARK, NJ
Registration Details
- NPI Number
- 1972133254
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2020 (6.5092355338159 yrs)
- Last Updated
- Jan 24, 2020
- License
-
26NJ01004000 (NJ)
Practice Information
- Address
-
459 N 7TH ST FL 1NEWARK, NJ, 071073743Browse NJ providers · Browse ZIP 07107
- Phone
- 9733889560
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in NEWARK, NJ
| Name | Credential | NPI |
|---|---|---|
| LORA ANNA LOK | MSN | 1730200924 |
| MS. NORMA LESTA | A.P.N | 1063864957 |
| MR. OSCAR FLORES | PMHNP | 1285145474 |
| TAMEKA S VILLA | NP | 1942708698 |
| JACQUELINE BUSCH | APN | 1700431525 |
| HYOEUN KIM | — | 1124650387 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.