Fradi J Back, RN
Registered Nurse in Lakewood, New Jersey
1447500905- Practice location
- 325 11TH St, Lakewood, NJ 08701-1825
- Phone
- 732-616-3838
- Fax
- 732-905-5591
- Last updated
- September 12, 2012
Fradi J. Back is a Registered Nurse based in Lakewood, NJ. Fradi J. Back practices in Lakewood, NJ and has the professional credentials of RN. The NPI Number for Fradi J. Back is 1447500905 and holds a License No. 659045 (NY). The current practice location address for Fradi J. Back is 325 11TH St, Lakewood, NJ 08701-1825 and can be reached out via phone at 732-616-3838 and via fax at 732-905-5591.
Provider Profile Details
- NPI Number
- 1447500905
- Provider Name
- Fradi J. Back
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 325 11TH St, Lakewood, NJ 08701-1825
- Phone Number
- 732-616-3838
- Fax Number
- 732-905-5591
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 12, 2012
- Last Update Date
- September 12, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 325 11TH St
Lakewood, NJ 08701-1825 - City
- Lakewood
- State
- New Jersey
- Zip
- 08701-1825
- Phone Number
- 732-616-3838
- Fax Number
- 732-905-5591
Provider Business Mailing Address Details
- Address
- 325 11TH St
Lakewood, NJ 08701-1825 - City
- Lakewood
- State
- NJ
- Zip
- 08701-1825
- Phone Number
- 732-616-3838
- Fax Number
- 732-905-5591
License Information
- License Number
- 659045
- License State
- NY
- Taxonomy
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Registered Nurses near Lakewood, NJ
View all Registered Nurses in Lakewood →Frequently Asked Questions
What is the NPI number of Fradi J Back, RN?
The NPI number of Fradi J Back, RN is 1447500905. It was assigned on September 12, 2012 and is currently active in the NPPES registry.
What is the specialty of Fradi J Back, RN?
Fradi J Back, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 659045.
Where does Fradi J Back, RN practice?
The practice location is 325 11TH St, Lakewood, NJ 08701-1825. The office can be reached at 732-616-3838 (phone) or 732-905-5591 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447500905 directly on the NPPES registry website.