Nitsan Shacham, MD
NPI 1124581202ActiveIndividual· Pediatrics, Pediatric Endocrinology· Hackensack, NJ
Pediatrics, Pediatric Endocrinology (MD) with Hackensack Meridian Health Medical Group - Specialty Care PC, practicing in Hackensack, New Jersey. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1124581202 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 7, 2019 |
| Last updated in NPPES | Aug 30, 2025 |
| Certified by provider | Aug 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Endocrinology Primary | 2080P0205X | 25MA12645900 | NJ |
| Pediatrics | 208000000X | 25MA12645900 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (NJ) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Pediatric Medicine |
Medical group
- Hackensack Meridian Health Medical Group - Specialty Care PCHackensack, NJ · 1,922 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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