Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598170656 Individual Practitioner Female Practitioner

Jiyoung Back , FNP

Nurse Practitioner • Jersey City, NJ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jiyoung Back, FNP is a registered Nurse Practitioner practitioner in Jersey City, NJ. With approximately 13 years of clinical practice since completing medical education in 2013, Jiyoung Back provides healthcare services at the registered practice location at 26 GREENVILLE AVE.

Jiyoung Back does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include dialysis services, transitional care management services for problem of high complexity, dialysis services, 2-3 physician visits per month (20 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

26 Greenville Ave

Jersey City, NJ 07305

Telephone 2013338222
Fax 2013339500
Associated Practice Facility / Clinic
🏢 Bassam M Haddad, Md, Pa Facility NPI 1821205063

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jersey City, NJ

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +4.6 yrs vs City Avg
City Avg: 8.4 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
35 Specialists

Practicing in Jersey City, NJ (1984 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Back (13 Years) 13 Yrs
Jersey City Specialty Average (8.4 Years) 8.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)
15 11 $876.70 $333.65

Medical Specialties & State Licenses

CMS Verified: 2021-03-25
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NJ 338354

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0595624 (NJ)

Secondary Practice Locations

1818 Kennedy Boulevard

Jersey City, NJ 07305

Phone: 2013338222

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Ruchika Batwara , MD

Internal Medicine - Nephrology

NPI 1164500146

Doctor of Medicine (M.D.)

Dr. Danny Haddad , MD

Internal Medicine - Nephrology

NPI 1235351297

Doctor of Medicine (M.D.)

Gady Berkovich , APN

Nurse Practitioner

NPI 1255883716

Advanced Practice Nurse

Varsha Suresh

Internal Medicine - Nephrology

NPI 1508327206
Songyi Rebecca Ventura , APN

Nurse Practitioner - Family

NPI 1689301228

Advanced Practice Nurse

NPI 1700885506

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2021

Nurse Practitioner (License #338354 in NJ)

📍
Updated Practice Location July 09, 2018

Registered at 26 GREENVILLE AVE, JERSEY CITY, NJ 07305 (Tel: 2013338222)

📍
Updated Business Mailing Address July 09, 2018

Registered at 26 GREENVILLE AVE, JERSEY CITY, NJ 073052608 (Tel: 2013338222)

NPI Profile Active June 27, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2014

Registered at 1818 KENNEDY BOULEVARD, JERSEY CITY, NJ 07305 (Tel: 2013338222)

📍
Updated Business Mailing Address June 27, 2014

Registered at 1818 KENNEDY BOULEVARD, JERSEY CITY, NJ 07305 (Tel: 2013338222)

👤
Provider Name / Credentials Updated June 27, 2014

Recorded as JIYOUNG BACK, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2014

Nurse Practitioner (License #338354 in NY)

🟢
Initial NPI Registration & Enumeration June 27, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598170656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2014
Last Update: March 25, 2021
Sole Proprietor: No

Mailing Address

26 Greenville Ave

Jersey City, NJ 073052608

Phone: 2013338222

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.