MICHAEL ANDRE BACCHUS LPN
NPI 1760885263
Licensed Practical Nurse in Coram, NY

Q: What is Michael Bacchus's NPI number?

The NPI number for Michael Bacchus is 1760885263. It was assigned to this individual provider in the NPPES registry on September 29, 2014.

Q: What is Michael Bacchus's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Bacchus was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 29, 2014

31 GAETANO LN, CORAM, NY 11727(631) 624-8348 Get Directions Write a Review

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michael Andre Bacchus Lpn NPPES

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

MICHAEL ANDRE BACCHUS LPN (NPI 1760885263) is an individual licensed practical nurse in Coram, New York, licensed in New York (292701-1) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1760885263

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameMICHAEL ANDRE BACCHUSCredential: LPN

Location Address31 GAETANO LNCoram, NY 11727

Mailing Address31 Gaetano LnCoram, NY 11727-2343 · (631) 624-8348

Phone(631) 624-8348

Sole ProprietorYes

Enumeration DateSeptember 29, 2014

✔ NPI 1760885263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 292701-1

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

31 GAETANO LN, Coram, NY 11727

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Other Providers at the Same Location NPPES

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

BAYADA HOME HEALTH CARE

Skilled Nursing Facility (Nursing Care, Pediatric)

31 GAETANO LN
CORAM, NY 11727

Suffolk County (631) 624-8348

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 Michael Bacchus's NPI number?

The NPI number for Michael Bacchus is 1760885263. It was assigned to this individual provider in the NPPES registry on September 29, 2014.

Where is Michael Bacchus located?

Michael Bacchus practices at 31 Gaetano Ln, Coram, NY 11727. The listed phone number is (631) 624-8348.

What is Michael Bacchus's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Michael Bacchus was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.