Lyle Back, M.D

InactiveIndividual ProviderPlastic Surgery
NPI issued: May 23, 2005

Quick Facts

NPI Number
1639172679
TypeIndividual
StatusInactive
SpecialtyPlastic Surgery
Taxonomy208200000X — Plastic Surgery
Phone
(856) 751-7550
StateNJ

NPI Validation Status: Deactivated

✅Valid 10-digit NPI number (1639172679)
❌Active status: Deactivated / Inactive
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (May 23, 2005)
Data source: CMS NPPES

Provider Overview

LYLE BACK, M.D is a Plastic Surgery provider based in Cherry Hill, NJ who has been registered with CMS since 2005. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1639172679
Provider TypeIndividual Provider
GenderMale
CredentialM.D
StatusInactive
Enumeration DateMay 23, 2005

Practice Location

CityCherry Hill
StateNJ
ZIP Code08003-2118
Phone(856) 751-7550

Specialties & Licenses

★ Primary
SpecialtyPlastic Surgery
Taxonomy Code208200000X
License StateNJ

Mailing Address

CityCherry Hill
StateNJ
ZIP Code08003-2118
Phone(856) 751-7550
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1639172679 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1639172679for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1639172679 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Plastic Surgery

Specialists in Plastic Surgery provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Plastic Surgeryproviders →
📊
8,346
Plastic Surgery Providers in the US

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People Also Ask

What is Lyle Back's NPI number?
Lyle Back's NPI number is 1639172679, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Lyle Back's NPI currently active?
No, Lyle Back's NPI status is Inactive as of the latest CMS NPPES database updates.
What does Lyle Back specialize in?
Lyle Back specializes in Plastic Surgery. The healthcare taxonomy code associated with this specialty is 208200000X.
Where does Lyle Back practice?
Lyle Back practices in Cherry Hill, NJ 08003-2118.
When was Lyle Back's NPI issued?
Lyle Back's NPI was issued on May 23, 2005.
What is Lyle Back's provider type?
Lyle Back is registered as an Individual Provider under CMS NPI Type 1.