Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shazam Bacchus, APN

Individual provider Primary Care Nurse Practitioner · NPI 1972133254

Shazam Bacchus, APN is a Nurse Practitioner in Newark, New Jersey. Qualified in 2019, 7 years ago. Practices with University Hospital, a 80-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2020
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

459 N 7th St Fl 1
Newark, NJ 07107-3743
Phone: (973) 388-9560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 26NJ01004000 (NJ)

Record details

NPI number1972133254
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorNo
NPI enumeratedJanuary 24, 2020
Last updated in NPPESJanuary 24, 2020
Certification dateJanuary 24, 2020
Mailing address459 N 7th St Fl 1, Newark, NJ 07107-3743

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Hospital — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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