Nitsan Shacham, MD is a
Student In An Organized Health Care Education/training Program physician based in New York, New York. Nitsan Shacham is licensed to practice in * (Not Available) (license number ) and her current practice location is 462 1st Ave, New York, New York. She can be reached at her office (for appointments etc.) via phone at
(212) 562-6904.
NPI number for Nitsan Shacham is 1124581202 and her current mailing address is 462 1st Ave, New York, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124581202.
Physician's Profile
Full Name | Nitsan Shacham |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 462 1st Ave, New York, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124581202
- Provider Enumeration Date: 04/07/2019
- Last Update Date: 05/28/2025
Medical Identifiers
Medical identifiers for Nitsan Shacham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124581202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 25MA12645900 (New Jersey) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nitsan Shacham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nitsan Shacham, MD 462 1st Ave, New York, NY 10016-9196 Ph: () - | Nitsan Shacham, MD 462 1st Ave, New York, NY 10016-9196 Ph: (212) 562-6904 |
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