FREDRIC BOMBACK MD
NPI 1417935628
Emergency Medicine, Pediatric Emergency Medicine in Hartsdale,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 6, 2006

Contact Information

99 Fieldstone Dr
Hartsdale,
Post Code: 10530
Phone: (914) 428-2120
Fax: -

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Fredric Bomback Md in Hartsdale - Emergency Medicine, Pediatric Emergency Medicine

Fredric Bomback Md is a Emergency Medicine, Pediatric Emergency Medicine in Hartsdale, . Fredric Bomback Md practices all healthcare services and medical treatments related to Emergency Medicine, Pediatric Emergency Medicine. The NPI Number for Fredric Bomback Md is 1417935628. The last update date is 2014-01-28.

Fredric Bomback Md's current location address is 99 Fieldstone Dr, Hartsdale, . You can contact this provider via phone number (914) 428-2120 and fax number -. The mailing address for Fredric Bomback Md is 99 Fieldstone Dr, Hartsdale, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1417935628
Provider Name
FREDRIC BOMBACK MD
Gender
Male
Entity Type
Individual
Location Address
99 Fieldstone Dr, Hartsdale,
Location Phone
(914) 428-2120
Location Fax
-
Mailing Address
99 Fieldstone Dr, Hartsdale, New York(NY)
Mailing Phone
914-428-2120
Mailing Fax
-
Enumeration Date
2006-01-06
Last Update Date
2014-01-28
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
-
License No.
106826
License State
New York (NY)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207PP0204X Pediatric Emergency Medicine (Emergency Medicine) Physician

Emergency Medicine, Pediatric Emergency Medicine

106826 (New York)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00187682 MEDICAID (05) New York (NY)
5238573 Other (non-Medicare) (01) New York (NY) Aetna PPO
0124825 Other (non-Medicare) (01) New York (NY) Aetna HMO
132625705 Other (non-Medicare) (01) New Mexico (NM) Pomco
132625705 Other (non-Medicare) (01) New York (NY) United Healthcare
14733 Other (non-Medicare) (01) New York (NY) Healthsource
1C7501 Other (non-Medicare) (01) New York (NY) Health Net
6301220003 Other (non-Medicare) (01) New York (NY) Cigna
712981 Other (non-Medicare) (01) New York (NY) Empire BCBS
WP235 Other (non-Medicare) (01) New York (NY) Oxford

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417935628
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24271831064
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 24271831064
2 + 4 + 2 + 7 + 1 + 8 + 3 + 1 + 0 + 6 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8 8

The NPI number 1417935628 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396748448 CYNTHIA J YOUNG-MAYKA
Individual
Physician Assistant 806 WEST BROADWAY ASSOCIATED MEDICAL PROFESSIONALS
FULTON, New York (NY)
315-297-4700
1205839255 STEVEN M GOLDBERG
Individual
Internal Medicine, Cardiovascular Disease 1010 NORTHERN BLVD
GREAT NECK, New York (NY)
516-390-2430
1073516027 JOHN CHU-HONG CHANG
Individual
Ophthalmology 169 N MIDDLETOWN RD
PEARL RIVER, New York (NY)
845-735-5666
1336142389 ADIRONDACK MEDICAL HEALTH CARE ASSOCIATES PLLC
Organization
Emergency Medicine PO BOX 2004
EAST SYRACUSE, New York (NY)
315-362-5285
1245233295 JILL K POTTS
Individual
Internal Medicine 335 PARRISH ST
CANANDAIGUA, New York (NY)
585-393-2845