Doctor profile · Federal record
Dr. Shazam Bacchus, APN
Primary Care Nurse Practitioner (CMS: Nurse Practitioner) · Newark, NJ
- NPI 1972133254
- Accepts Medicare
- 7 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
459 N 7Th St Fl 1
Newark, NJ 071073743
(973) 388-9560
Credentials & registration
- NPI registered
- January 2020 — 6 yrs on file
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363LP2300X — NUCC code
- State license (1)
- New Jersey #26NJ01004000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1972133254. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$341
Transactions
18
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 17 | $215.19 | |
| ShockWave Medical, INC | 1 | $125.53 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
60
Patients
0
Total drug cost
$8,303
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Carvedilol | Generic | 24 | 0 | $125 |
| Atorvastatin Calcium | Generic | 14 | 0 | $208 |
| Entresto (Sacubitril/Valsartan) | Brand | 11 | 0 | $7,908 |
| Lisinopril | Generic | 11 | 0 | $62 |
Frequently asked questions
What is Dr. Shazam Bacchus's medical specialty?
Dr. Shazam Bacchus practices Primary Care Nurse Practitioner in Newark, NJ.
Where does Dr. Shazam Bacchus practice?
Dr. Shazam Bacchus practices at 459 N 7Th St Fl 1, Newark, NJ 071073743. Office phone: 9733889560.
What is Dr. Shazam Bacchus's NPI?
Dr. Shazam Bacchus's National Provider Identifier (NPI) is 1972133254, issued by NPPES.
Does Dr. Shazam Bacchus accept Medicare assignment?
Yes. Dr. Shazam Bacchus accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.