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Ms. Sara Deborah Back, FNP MPH

Family Nurse Practitioner in Bronx, NY · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104811991

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Registry record

Entity type Individual (Type 1)
Name Ms. Sara Deborah Back
Credential FNP MPH
Sex Female
Practice address 3424 Kossuth Ave, Rm #3h17, Bronx, NY, 10467
Phone (718) 519-3631
Fax (718) 519-2034
Enumeration date Sep 17, 2005
Last updated in NPPES Jul 9, 2008

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License F333271 (NY) Primary

Other identifiers

Identifier Type State Issuer
02108950 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1104811991 active?
Yes, as of the latest NPPES snapshot, NPI 1104811991 is active (record last updated 2008-07-09).
How do I verify Sara Back's NPI record?
Cross-check NPI 1104811991 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-09.