Nichol Shabazz, PMHNP-BC - Nurse Practitioner in Paterson, NJ

Nichol Shabazz, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Paterson, New Jersey. Nichol Shabazz is licensed to practice in New Jersey (license number 26NJ15611300) and her current practice location is 470 Chamberlain Ave Ste 11, Paterson, New Jersey. She can be reached at her office (for appointments etc.) via phone at (973) 930-0052.

NPI number for Nichol Shabazz is 1750138699 and her current mailing address is Po Box 1072, Fair Lawn, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750138699.

Contact Information

Nichol Shabazz, PMHNP-BC
470 Chamberlain Ave Ste 11,
Paterson, NJ 07522-1000
(973) 930-0052
Not Available

Map and Direction




Provider's Profile

Full NameNichol Shabazz
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location470 Chamberlain Ave Ste 11, Paterson, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750138699
  • Provider Enumeration Date: 04/30/2024
  • Last Update Date: 08/12/2026

Medical Identifiers

Medical identifiers for Nichol Shabazz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750138699NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ15611300 (New Jersey)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. Nichol Shabazz 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 AddressPractice Location Address
Nichol Shabazz, PMHNP-BC
Po Box 1072,
Fair Lawn, NJ 07410-8072

Ph: (973) 930-0052
Nichol Shabazz, PMHNP-BC
470 Chamberlain Ave Ste 11,
Paterson, NJ 07522-1000

Ph: (973) 930-0052

Reviews and Comments


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