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MICHAEL JIN BACK RN, BSN, MSN, FNP-C
NPI 1023848017
Nurse Practitioner - Family in Hackensack, NJ

Active since August 05, 2024PECOS Enrolled
170 PROSPECT AVE APT 3G, HACKENSACK, NJ 07601(201) 577-8494 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2026, Aug 5, 2024 (2 updates tracked since 2024).

About Michael Jin Back Rn, Bsn, Msn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JIN BACK RN, BSN, MSN, FNP-C (NPI 1023848017) is an individual family provider in Hackensack, New Jersey, licensed in New Jersey (26NR15265100) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1023848017
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL JIN BACKCredential: RN, BSN, MSN, FNP-C
Location Address170 PROSPECT AVE APT 3GHackensack, NJ 07601-1857
Mailing Address170 Prospect Ave Apt 3gHackensack, NJ 07601-1857 · (201) 577-8494
Phone(201) 577-8494
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 5, 2024
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1023848017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NR15265100
170 PROSPECT AVE APT 3G, Hackensack, NJ 07601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Jin Back Rn, Bsn, Msn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395220511
PECOS Enrollment IDI20260326000479
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Back's NPI number?

The NPI number for Michael Back is 1023848017. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Michael Back located?

Michael Back practices at 170 Prospect Ave Apt 3G, Hackensack, NJ 07601. The listed phone number is (201) 577-8494.

What is Michael Back's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Back enrolled in Medicare?

Yes. Michael Back is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Back was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.