SHAZAM BACCHUS APN
NPI 1972133254
Nurse Practitioner - Primary Care in Newark, NJ
About Shazam Bacchus Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAZAM BACCHUS APN (NPI 1972133254) is an individual primary care provider in Newark, New Jersey, licensed in New Jersey (26NJ01004000) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shazam Bacchus Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The University Hospital
Acute Care Hospitals · Newark, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Shazam Bacchus's NPI number?
The NPI number for Shazam Bacchus is 1972133254. It was assigned to this individual provider in the NPPES registry on January 24, 2020.
Where is Shazam Bacchus located?
Shazam Bacchus practices at 459 N 7th St Fl 1, Newark, NJ 07107. The listed phone number is (973) 388-9560.
What is Shazam Bacchus's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Shazam Bacchus enrolled in Medicare?
Yes. Shazam Bacchus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Shazam Bacchus affiliated with any hospitals?
According to CMS data, Shazam Bacchus is affiliated with The University Hospital.
When was this NPI record last updated?
The NPPES record for Shazam Bacchus was last updated on January 24, 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.
# Shazam Bacchus, APN · NPI 1972133254
Primary Care physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since January 24, 2020.
## Identity
- **NPI:** 1972133254 (Entity type: Individual)
- **Enumerated:** January 24, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 26NJ01004000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 459 N 7TH ST FL 1, Newark, NJ 07107-3743
- **Phone:** (973) 388-9560
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1972133254) · Data from the CMS NPPES public registry.