Question 1

What type of a medical provider is Shazam Bacchus?

Accepted Answer

Shazam Bacchus is a Nurse Practitioner (Primary Care).

Question 2

Where does Shazam Bacchus practice medicine?

Accepted Answer

Shazam Bacchus has the following practice address:459 N 7TH ST FL 1, NEWARK, NJ 07107-3743

Question 3

Does this provider have a license number?

Accepted Answer

Shazam Bacchus has the following license number: License Number 26NJ01004000 issued in New Jersey.

Question 4

Does Shazam Bacchus accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Shazam Bacchus have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Shazam Bacchus a member of any Medical Groups?

Accepted Answer

Shazam Bacchus is affiliated with one medical group in the NEWARK area, UNIVERSITY HOSPITAL.

Question 7

Does Shazam Bacchus participate in PECOS?

Accepted Answer

Yes, Shazam Bacchus participates in PECOS.

Question 8

What phone number can I call to contact Shazam Bacchus?

Accepted Answer

You can call the following number: (973)-388-9560

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Shazam Bacchus.

Question 10

Is Shazam Bacchus  affiliated with any hospitals?

Accepted Answer

The provider is affiliated with the following hospital: THE UNIVERSITY HOSPITAL

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 5 years ago (1/24/2020).

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20220617000122
PECOS Individual PAC ID:	1153700414
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Shazam Bacchus

Overview