Jiyoung Back (NPI# 1598170656, PAC ID# 0749546232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1598170656 |
| PAC ID by PECOS | 0749546232 |
| Professional Enrollment ID | I20171116001778 |
| Full Name | Jiyoung Back |
| Organization Legal Name | NEW JERSEY KIDNEY CARE LLC |
| Address |
510 31st St Bsmt Union City NJ 07087-3907 |
| Phone Number | 2018663322 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052695137 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 26 Greenville Ave, Jersey City, NJ 07305-2608 | 2013338222 | NEW JERSEY KIDNEY CARE LLC |
| 510 31st St, Bsmt, Union City, NJ 07087-3907 | 2018663322 | NEW JERSEY KIDNEY CARE LLC |
| Organization Legal Name | NEW JERSEY KIDNEY CARE LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny B Haddad | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Gady Berkovich | Nurse Practitioner | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Niveen T Bebawy | Nephrology | New Jersey Kidney Care LLC | 510 31st St, Bsmt, Union City, NJ 07087-3907 |
| Narender Goel | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Denise Goodman | Nurse Practitioner | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Deepika Jain | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Bassam M Haddad | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Lochana Manandhar | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| George C Bonifant | Nephrology | New Jersey Kidney Care LLC | 510 31st St, Bsmt, Union City, NJ 07087-3907 |
| Stephen M Thomsen | Nephrology | New Jersey Kidney Care LLC | 26 Greenville Ave, Jersey City, NJ 07305-2608 |
| Street Address |
510 31ST ST BSMT |
| City | UNION CITY |
| State | NJ |
| Zip | 07087-3907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hussam Md Hajal | Nephrology | 510 31st St, Union City, NJ 07087-3907 | |
| Niveen T Bebawy | Nephrology | New Jersey Kidney Care LLC | 510 31st St, Bsmt, Union City, NJ 07087-3907 |
| George C Bonifant | Nephrology | New Jersey Kidney Care LLC | 510 31st St, Bsmt, Union City, NJ 07087-3907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie Villanueva | Nurse Practitioner | Advanced Medical Care of Hudson County LLC | 1610 Summit Ave, Union City, NJ 07087-1924 |
| Loka N. Reddy | Plastic and Reconstructive Surgery | 1400 Kennedy Blvd, Union City, NJ 07087-1932 | |
| Denise M Daub | Internal Medicine | 1808 Kennedy Blvd, Union City, NJ 07087-2012 | |
| Cataldo Cacace | Urology | 1815 Summit Ave, Union City, NJ 07087-2022 | |
| Holger G Armas | Internal Medicine | 2911 Summit Ave, Suite 105, Union City, NJ 07087-2312 | |
| Daniel J Dussman | Physical Therapy | 584 32nd St, Union City, NJ 07087-2434 | |
| Mohammad Amar Chaudhry | Internal Medicine | Diligent Medical Care PC | 570 -574, Union City, NJ 07087-2434 |
| Sharon Y Mirante | Nurse Practitioner | Diligent Medical Care PC | 570 -574, Union City, NJ 07087-2434 |
| Stefano M Stella | Obstetrics/gynecology | 3196 Kennedy Blvd, Union City, NJ 07087-2436 | |
| Andrew Granas | Family Medicine | Sanitas Medical Center of New Jersey PC | 3196 Kennedy Blvd, Union City, NJ 07087-2436 |
| Find all physicians in zip 07087 | |||
| City | UNION CITY |
| Zip Code | 07087 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | UNION CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jiyoung Back.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.