IndividualActive
Nitsan Shacham, MD
NPI 1124581202 · Pediatric Endocrinology Physician · Hackensack, NJ
Provider details
- NPI number
- 1124581202
- Entity type
- Individual
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA12645900 (NJ)
Mailing address
30 Prospect Ave
Hackensack, NJ 07601-1915
Registry dates
- Enumerated
- 2019-04-07
- Last updated
- 2025-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.