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

Q: What is Jiyoung Back's NPI number?

The NPI number for Jiyoung Back is 1598170656. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Q: What is Jiyoung Back's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jiyoung Back was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 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: August 09, 2026.

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

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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

Phone(201) 333-8222

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

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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.

NEW JERSEY KIDNEY CARE LLC

Internal Medicine (Nephrology)