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GLORIOUS ALI SHABAZZ
NPI 1851922397
Counselor - Addiction (Substance Use Disorder) in Paterson, NJ

Active since February 03, 2020PECOS Enrolled
300 E 29TH ST, PATERSON, NJ 07514(973) 930-0044 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glorious Ali Shabazz NPPES

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

GLORIOUS ALI SHABAZZ (NPI 1851922397) is an individual addiction (substance use disorder) provider in Paterson, New Jersey, licensed in New Jersey (37LC00280000) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851922397
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameGLORIOUS ALI SHABAZZ
Location Address300 E 29TH STPaterson, NJ 07514-1818
Mailing Address300 E 29th StPaterson, NJ 07514-1818 · (973) 930-0044
Phone(973) 930-0044
Sole ProprietorNo
Enumeration DateFebruary 3, 2020
✔ NPI 1851922397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NJ · 37LC00280000
300 E 29TH ST, Paterson, NJ 07514
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glorious Ali Shabazz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

LIFE TRANSFORMATION WELLNESS CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
300 E 29TH ST
PATERSON, NJ 07514
Passaic County (973) 930-0052

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 Glorious Shabazz's NPI number?

The NPI number for Glorious Shabazz is 1851922397. It was assigned to this individual provider in the NPPES registry on February 3, 2020.

Where is Glorious Shabazz located?

Glorious Shabazz practices at 300 E 29th St, Paterson, NJ 07514. The listed phone number is (973) 930-0044.

What is Glorious Shabazz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Glorious Shabazz enrolled in Medicare?

Yes. Glorious Shabazz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glorious Shabazz was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.