IndividualActive
Michael Bacchus, LPN
NPI 1760885263 · Licensed Practical Nurse · Coram, NY
Michael Bacchus, LPN is a Licensed Practical Nurse provider in Coram, NY (NPI 1760885263).
Provider details
- NPI number
- 1760885263
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 292701-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
31 Gaetano Ln
Coram, NY 11727
Phone: (631) 624-8348
Street-level locationGet directions
Mailing address
31 Gaetano Ln
Coram, NY 11727-2343
Registry dates
- Enumerated
- 2014-09-29
- Last updated
- 2014-09-29
Frequently asked questions
- What is Michael Bacchus's NPI number?
- Michael Bacchus's National Provider Identifier (NPI) is 1760885263, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Bacchus's specialty?
- Michael Bacchus is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Michael Bacchus located?
- Michael Bacchus's practice location on file with NPPES is 31 Gaetano Ln, Coram, NY 11727.
- What is Michael Bacchus's phone number?
- The practice phone number listed in the NPPES registry for Michael Bacchus is (631) 624-8348.
- Is Michael Bacchus's NPI active?
- Yes — Michael Bacchus's NPI (1760885263) is active in the NPPES registry as of the last update on 2014-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.