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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOL SHABAZZ PMHNP-BC
NPI 1750138699
Nurse Practitioner - Psychiatric/Mental Health in Paterson, NJ

Active since April 30, 2024
470 CHAMBERLAIN AVE STE 11, PATERSON, NJ 07522(973) 930-0052 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 12, 2026, Apr 30, 2024 (2 updates tracked since 2024).

About Nichol Shabazz Pmhnp-bc NPPES

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

NICHOL SHABAZZ PMHNP-BC (NPI 1750138699) is an individual psychiatric/mental health provider in Paterson, New Jersey, licensed in New Jersey (26NJ15611300) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1750138699
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICHOL SHABAZZCredential: PMHNP-BC
Location Address470 CHAMBERLAIN AVE STE 11Paterson, NJ 07522-1000
Mailing AddressPo Box 1072Fair Lawn, NJ 07410-8072 · (973) 930-0052
Phone(973) 930-0052
Sole ProprietorYes
Enumeration DateApril 30, 2024
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1750138699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ15611300
470 CHAMBERLAIN AVE STE 11, Paterson, NJ 07522
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Other Providers at the Same Location NPPES 5

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

POST & CLAIM
Specialist/Technologist, Health Information (Coding Specialist, Physician Office Based)
470 CHAMBERLAIN AVE STE 11
PATERSON, NJ 07522
Passaic County (551) 253-3577
THE AMAZING HELP INC
Community/Behavioral Health
470 CHAMBERLAIN AVE STE 11
PATERSON, NJ 07522
Passaic County (973) 553-1662
GROWING IN GRACE COUNSELING GROUP
Community/Behavioral Health
470 CHAMBERLAIN AVE STE 11
PATERSON, NJ 07522
Passaic County (862) 262-8826
SAFE COUNSEL LLC
Social Worker (Clinical)
470 CHAMBERLAIN AVE STE 11
PATERSON, NJ 07522
Passaic County (201) 303-7108
MUTURE SISTERS
Case Management
470 CHAMBERLAIN AVE STE 11
PATERSON, NJ 07522
Passaic County (973) 553-1662

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 Nichol Shabazz's NPI number?

The NPI number for Nichol Shabazz is 1750138699. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Nichol Shabazz located?

Nichol Shabazz practices at 470 Chamberlain Ave Ste 11, Paterson, NJ 07522. The listed phone number is (973) 930-0052.

What is Nichol Shabazz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Nichol Shabazz was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.