You can use a third-party library like base64-img or base64-to-image.
const base64Img = require('base64-img');
const data = 'data:image/png;base64,...';
const destpath = 'dir/to/save/image';
const filename = 'some-filename';
base64Img.img(data, destpath, filename, (err, filepath) => {}); // Asynchronous using
const filepath = base64Img.imgSync(data, destpath, filename); // Synchronous using
const base64ToImage = require('base64-to-image');
const base64Str = 'data:image/png;base64,...';
const path = 'dir/to/save/image/'; // Add trailing slash
const optionalObj = { fileName: 'some-filename', type: 'png' };
const { imageType, fileName } = base64ToImage(base64Str, path, optionalObj); // Only synchronous using