Active NPI
Michael Jin Back, RN, BSN, MSN, FNP-C
- Family Nurse Practitioner
- Hackensack, NJ
National Provider Identifier
1023848017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NR15265100
- Practice address
- 170 Prospect Ave Apt 3G
Hackensack, NJ 07601-1857 - Phone
- (201) 577-8494
- NPI assigned
- Aug 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NR15265100 | NJ | Primary |
Addresses
Primary practice location
170 Prospect Ave Apt 3G
Hackensack, NJ 07601-1857
Mailing address
170 Prospect Ave Apt 3G
Hackensack, NJ 07601-1857
Phone (201) 577-8494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
170 Prospect Ave
Apt 3G
Hackensack, NJ 07601-1820
6 Forest Ave
Suite 202
Paramus, NJ 07652-5241
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR15265100 | NJ | MD | Family Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1023848017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 PROSPECT AVE APT 3G",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011857",
"telephone_number": "201-577-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 PROSPECT AVE APT 3G",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011857",
"telephone_number": "201-577-8494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACK",
"first_name": "MICHAEL",
"middle_name": "JIN",
"credential": "RN, BSN, MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-05",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NR15265100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.