Fradi J. Back, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

659045 Issued in NY

Practice address

325 11TH St
Lakewood, NJ 08701-1825

Phone

(732) 616-3838

Fax

(732) 905-5591

NPI assigned

Sep 12, 2012

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1447500905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 11TH ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011825",
            "telephone_number": "732-616-3838",
            "fax_number": "732-905-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 11TH ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011825",
            "telephone_number": "732-616-3838",
            "fax_number": "732-905-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACK",
        "first_name": "FRADI",
        "middle_name": "J.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "659045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Babybalance Birth
• Bacharach Eye Care LLC
• Moshe Bacharach, MD
• Aliza Back
• Ayala Back, LCSW
• Yehudis Backenroth
• Shoshana Bacon, M.D.
• Teddy Bahary, BCBA
• Aliza Baida, MS.ED, BCBA, LBA
• Abigail Bailey, OTD, OTR/L

• Registered Nurse in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.