Amber Backer, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

364020 Issued in NY

Practice address

101 Eimer St
Patchogue, NY 11772-2458

Phone

(631) 617-7377

NPI assigned

Mar 7, 2025

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": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1174321814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EIMER ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EIMER ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722458",
            "telephone_number": "631-617-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKER",
        "first_name": "AMBER",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "364020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Joan Aumock, NP
• Steven B Axt, D.P.M.
• Nargis Ayoub, PHARMD
• Ramin Azarm, LCSW
• Ali Sayed Aziz, M.D.
• Sungguk Bae
• Pedro A Baez, MD
• Emma Bagdasarov, RN
• Kathleen Alyssa Bailey, DPT
• Margaret Gallagher Baird, CASAC, MHC-LP

• Licensed Practical Nurse in Patchogue, NY
• Providers in Patchogue, 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 Mar 7, 2025; 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.