JIYOUNG BACK (NPI# 1598170656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598170656 |
| Entity Type | Individual |
| Full Name | JIYOUNG BACK |
| Credential | FNP |
| Practice Address |
26 Greenville Ave Jersey City NJ 07305 |
| Mailing Address |
26 Greenville Ave Jersey City NJ 07305-2608 |
| Practice Telephone | 2013338222 |
| Practice Fax Number | 2013339500 |
| Mailing Telephone | 2013338222 |
| Mailing Fax Number | 2013339500 |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
338354 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1818 Kennedy Boulevard, Jersey City, NJ 07305 | 2013338222 |
| Street Address |
26 GREENVILLE AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784510 | Bassam M Haddad | Specialist | 26 Greenville Ave, Jersey City, NJ 07305-2608 | 2005-07-14 |
| 1194277392 | New Jersey Kidney Care LLC | Internal Medicine | 26 Greenville Ave, Jersey City, NJ 07305 | 2016-11-04 |
| 1598040875 | Direct Meds of Jersey City LLC | Pharmacy | 26 Greenville Ave, Jersey City, NJ 07305-2608 | 2011-10-18 |
| 1710131537 | Narender Goel | Internal Medicine | 26 Greenville Ave, Jersey City, NJ 07305-2608 | 2008-11-06 |
| 1750551875 | Deepika Jain | Internal Medicine | 26 Greenville Ave, Suite 1, Jersey City, NJ 07305-2608 | 2008-03-04 |
| 1821205063 | Bassam M Haddad, Md, Pa | Specialist | 26 Greenville Ave, Jersey City, NJ 07305-2608 | 2007-05-17 |
| 1235351297 | Danny B Haddad | Internal Medicine | 26 Greenville Ave, Jersey City, NJ 07305-2608 | 2007-05-02 |
| 1700885506 | Umrana Ahmed | Specialist | 26 Greenville Ave, Jersey City, NJ 07305-2608 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584358 | Lloyd Maquiling | Physical Therapist | 198 Old Bergen Rd #2622, Jersey City, NJ 07305 | 2020-06-27 |
| 1487293932 | Acj Consultants, Inc. | Counselor | 1600 Kennedy Blvd, Jersey City, NJ 07305 | 2020-01-02 |
| 1942767066 | Carerivet Medical Services LLC | Clinic/Center | 26 University Place Blvd, 1st Floor, Jersey City, NJ 07305 | 2019-02-25 |
| 1538669759 | Marie Day | Home Health Aide | 1709 Kennedy Boulevard, Jersey City, NJ 07305 | 2018-02-14 |
| 1881100162 | Heather Primus | Assistant Behavior Analyst | 120 Seaview Avenue, Ground Floor, Jersey City, NJ 07305 | 2017-12-21 |
| 1932642816 | Reem H Salem | Physical Therapist | 2120 John F Kennedy Blvd, Jersey City, NJ 07305 | 2016-11-28 |
| 1629449020 | Anjanie Persaud | Pharmacist | 260 Armstrong Ave, Jersey City, NJ 07305 | 2015-10-12 |
| 1518334440 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 321 State Rt 440, Jersey City, NJ 07305 | 2015-08-26 |
| 1306212832 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9-11 Kensington Avenue, Jersey City, NJ 07305 | 2015-08-19 |
| 1144628397 | Martin Rodriguez | Counselor | 110 Martin Luther Drive, Jersey City, NJ 07305 | 2014-12-19 |
| Find all providers in zip 07305 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183790 | Jennifer Samaan | Nurse Practitioner | 3540 Kennedy Blvd Ste 1, Jersey City, NJ 07307-3450 | 2020-10-28 |
| 1982220687 | Charina Bantugan | Nurse Practitioner | 10 Suburbia Ct, Jersey City, NJ 07305-1226 | 2020-06-18 |
| 1255966149 | Allison Hayley Knapp | Nurse Practitioner | 265 3rd St # 2, Jersey City, NJ 07302-2799 | 2020-03-11 |
| 1407499031 | Ambika Roy | Nurse Practitioner | 87 Hague St, Jersey City, NJ 07307-3103 | 2019-10-27 |
| 1023409117 | Anthony A Adeyinka | Nurse Practitioner | Harborside Financial Center, Plaza 10, Suite 803, Jersey City, NJ 07311 | 2015-02-10 |
| 1336539659 | Janine Ottley | Nurse Practitioner | 91 Gifford Ave, Jersey City, NJ 07304-1703 | 2015-01-26 |
| 1619386414 | Tariq Mahmood | Nurse Practitioner | 203 Academy St, 207, Jersey City, NJ 07306-2456 | 2014-08-05 |
| 1104244177 | Dhanmatie Baldeo-dat | Nurse Practitioner | 836 Pavonia Ave, Jersey City, NJ 07306-3904 | 2014-04-06 |
| 1316375538 | Naomi Kihwaga | Nurse Practitioner | 418 Baldwin Ave Apt 31a, Jersey City, NJ 07306-1682 | 2013-10-25 |
| 1790120335 | Nakesha Kaydine Mcpherson | Nurse Practitioner | 3 2nd St, Harborside Financial Center Plaza 10 Suite 803, Jersey City, NJ 07302-3099 | 2013-05-09 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07305 |
Please comment or provide details below to improve the information on JIYOUNG BACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.