Individual provider · Type 1 NPI

Alicia Bacchus

Family Nurse Practitioner · New York, NY

NPI number 1255790192 Active

Practice location

177 Fort Washington Ave
New York, NY 10032

Mailing address

331 Newman Springs Road, Bldg. 2, Suite 220
Red Bank, NJ 07701

Other practice locations

  • 650 From Rd Ste 506, Paramus, NJ 07652-3517 · (551) 996-8100

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XF341946 (NY)
Family Nurse Practitioner 363LF0000X95003307 (CA)
Family Nurse Practitioner Primary 363LF0000X26NJ15357100 (NJ)

Family Nurse Practitioner: Definition to come...

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About NPI 1255790192

Alicia Bacchus's National Provider Identifier is 1255790192, issued on Feb 21, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Nov 18, 2025.