Individual provider · Type 1 NPI

Mabad Shacker

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1982544896 Active

Practice location

150 Bergen St
Newark, NJ 07103-2496

Mailing address

207 E Main St
Prospect Park, NJ 07508-2100

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982544896

Mabad Shacker's National Provider Identifier is 1982544896, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on Mar 30, 2026.