Dordonide I Backer

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

324478 Issued in NY

Practice address

43 Robin Hill PL
Brentwood, NY 11717-5709

Phone

(631) 742-4089

NPI assigned

May 2, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1003342650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 ROBIN HILL PL",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175709",
            "telephone_number": "631-742-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 ROBIN HILL PL",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175709",
            "telephone_number": "631-742-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKER",
        "first_name": "DORDONIDE",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "324478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Claire Auricchio
• Aaron Avni, MD
• Morad Awadallah, MD
• Funmi Modupe Awelewa
• Doris Azornu
• Prayasi Bagchi
• Kimberly Ann Baillie
• Berline Marie Bain, RN
• Kristofferson R Bajo, PT
• Robert Baldi

• Licensed Practical Nurse in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.