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DR. FREDRIC BOMBACK MD
NPI 1417935628
Pediatrics in Hartsdale, NY

Active since January 06, 2006PECOS Enrolled
99 FIELDSTONE DR, HARTSDALE, NY 10530(914) 428-2120 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Fredric Bomback Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FREDRIC BOMBACK MD (NPI 1417935628) is an individual pediatrics provider in Hartsdale, New York, licensed in New York (106826) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417935628
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. FREDRIC BOMBACKCredential: MD
Location Address99 FIELDSTONE DRHartsdale, NY 10530-1564
Mailing Address99 Fieldstone DrHartsdale, NY 10530-1564 · (914) 428-2120
Phone(914) 428-2120
Sole ProprietorNo
Enumeration DateJanuary 6, 2006
Last NPPES UpdateJanuary 28, 2014
✔ NPI 1417935628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 106826
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 106826 (NY)
99 FIELDSTONE DR, Hartsdale, NY 10530
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Other Identifiers 12

Other132625705NY · United Healthcare
Medicare UPINF62445NY
Other0124825NY · Aetna Hmo
Other712981NY · Empire Bcbs
OtherWP235NY · Oxford
Other1C7501NY · Health Net
Other6301220003NY · Cigna
Medicare ID-Type Unspecified712981NY
Medicaid00187682NY
Other5238573NY · Aetna Ppo
Other132625705NM · Pomco
Other14733NY · Healthsource

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fredric Bomback Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER HYUNJUNG KIM D.D.S
Dentist (Pediatric Dentistry)
99 FIELDSTONE DR
HARTSDALE, NY 10530
Westchester County (562) 405-2001
LISNEIDA ARJONA DDS
Dentist (Pediatric Dentistry)
99 FIELDSTONE DR
HARTSDALE, NY 10530
Westchester County (914) 997-8820
DR. SARA F KENAMORE M.D.
Pediatrics
99 FIELDSTONE DR
HARTSDALE, NY 10530
Westchester County (914) 428-2120
DR. JENNIFER L LONGOBARDI M.D.
Pediatrics
99 FIELDSTONE DR
HARTSDALE, NY 10530
Westchester County (914) 428-2120
WESTCHESTER PEDIATRICS, RLLP
Specialist
99 FIELDSTONE DR
HARTSDALE, NY 10530
Westchester County (914) 428-2120
PRIMARY CARE DENTAL PC
Dentist
99 FIELDSTONE DR
HARTSDALE, NY 10530
Westchester County (914) 997-8820
DR. DAVID LAWRENCE KOSS D.D.S.
Dentist (Pediatric Dentistry)
99 FIELDSTONE DR
HARTSDALE, NY 10530
Westchester County (914) 997-8820
DR. KENNETH H KATZ M.D.
Pediatrics
99 FIELDSTONE DR
HARTSDALE, NY 10530
Westchester County (914) 428-2120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fredric Bomback's NPI number?

The NPI number for Fredric Bomback is 1417935628. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Fredric Bomback located?

Fredric Bomback practices at 99 Fieldstone Dr, Hartsdale, NY 10530. The listed phone number is (914) 428-2120.

What is Fredric Bomback's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Fredric Bomback enrolled in Medicare?

Yes. Fredric Bomback is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fredric Bomback was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.