KIM ELAINE BACKMAN NP
NPI 1205475746
Nurse Practitioner - Psychiatric/Mental Health in Wantagh, NY

Q: What is Kim Backman's NPI number?

The NPI number for Kim Backman is 1205475746. It was assigned to this individual provider in the NPPES registry on January 2, 2020. The provider is also known as Kim Elaine Backman Np.

Q: What is Kim Backman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kim Backman was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since January 02, 2020

2079 WANTAGH AVE STE 4, WANTAGH, NY 11793(516) 244-6968 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Jan 2, 2020 (2 updates tracked since 2020).

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About Kim Elaine Backman Np NPPES

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

KIM ELAINE BACKMAN NP (NPI 1205475746) is an individual psychiatric/mental health provider in Wantagh, New York, licensed in New York (402879) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1205475746

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKIM ELAINE BACKMANCredential: NP

Location Address2079 WANTAGH AVE STE 4Wantagh, NY 11793-3924

Mailing Address2079 Wantagh AveWantagh, NY 11793-3924 · (516) 244-6968

Phone(516) 244-6968

Sole ProprietorYes

Enumeration DateJanuary 2, 2020

Last NPPES UpdateAugust 1, 20252 updates tracked since enumeration

NPPES CertifiedAugust 1, 2025

✔ NPI 1205475746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 402879

2079 WANTAGH AVE STE 4, Wantagh, NY 11793

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Other Names 1

Other Name (5)Kim Elaine Backman Np

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 Kim Backman's NPI number?

The NPI number for Kim Backman is 1205475746. It was assigned to this individual provider in the NPPES registry on January 2, 2020. The provider is also known as Kim Elaine Backman Np.

Where is Kim Backman located?

Kim Backman practices at 2079 Wantagh Ave Ste 4, Wantagh, NY 11793. The listed phone number is (516) 244-6968.

What is Kim Backman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kim Backman was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.