JIYOUNG BACK FNP
NPI 1598170656
Nurse Practitioner in Jersey City, NJ

Active since June 27, 2014PECOS Enrolled
26 GREENVILLE AVE, JERSEY CITY, NJ 07305(201) 333-8222(201) 333-9500 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 25, 2021, Jul 9, 2018 (2 updates tracked since 2018).

About Jiyoung Back Fnp NPPES

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

JIYOUNG BACK FNP (NPI 1598170656) is an individual nurse practitioner in Jersey City, New Jersey, licensed in New Jersey (338354) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jersey City, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1598170656
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJIYOUNG BACKCredential: FNP
Location Address26 GREENVILLE AVEJersey City, NJ 07305
Mailing Address26 Greenville AveJersey City, NJ 07305-2608 · (201) 333-8222 · Fax (201) 333-9500
Fax(201) 333-9500
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 27, 2014
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
NPI 1598170656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NJ · 338354
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

26 GREENVILLE AVE, Jersey City, NJ 07305

Secondary Practice Location 1

Location 11818 Kennedy BoulevardJersey City, NJ 07305 · Phone (201) 333-8222

Other Identifiers 1

Medicaid0595624NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jiyoung Back Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749546232
PECOS Enrollment IDI20251204000169
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 07305 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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
26 GREENVILLE AVE
JERSEY CITY, NJ 07305
Specialist
26 GREENVILLE AVE
JERSEY CITY, NJ 07305
Internal Medicine (Nephrology)
26 GREENVILLE AVE
JERSEY CITY, NJ 07305
Nurse Practitioner
26 GREENVILLE AVE
JERSEY CITY, NJ 07305
Nurse Practitioner (Family)
26 GREENVILLE AVE
JERSEY CITY, NJ 07305
Internal Medicine (Nephrology)
26 GREENVILLE AVE
JERSEY CITY, NJ 07305
Internal Medicine (Nephrology)
26 GREENVILLE AVE
JERSEY CITY, NJ 07305
Internal Medicine (Nephrology)
26 GREENVILLE AVE
JERSEY CITY, NJ 07305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598170656, enumerated as an "individual" on June 27, 2014.

The provider is located at 26 GREENVILLE AVE JERSEY CITY, NJ 07305 and the phone number is (201) 333-8222.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.