ERIC MAX BORTNICK M.D.
NPI 1477915437
Urology - Pediatric Urology in New Haven, CT
NPI Status: Active since March 28, 2016
Contact Information
789 HOWARD AVE # FMP309
NEW HAVEN, CT
ZIP 06519
Phone: (203) 785-7671
- Individual
- Male
- Urology
- Pediatric Urology
- PECOS Enrolled
About ERIC BORTNICK
This page provides the complete NPI Profile along with additional information for Eric Bortnick, a provider established in New Haven, Connecticut with a medical specialization in Urology, focusing in pediatric urology . The healthcare provider is registered in the NPI registry with number 1477915437 assigned on March 2016. The practitioner's primary taxonomy code is 2088P0231X with license number 77347 (CT). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1477915437
- Provider Name
- ERIC MAX BORTNICK M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 789 HOWARD AVE # FMP309 NEW HAVEN, CT 06519
- Location Phone
- (203) 785-7671
- Mailing Address
- 789 HOWARD AVE # FMP309 NEW HAVEN, CT 06519
- Mailing Phone
- (203) 785-7671
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-28-2016
- Last Update Date
- 09-24-2024
- Code Navigator
Location Map
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
Urology Pediatric Urology
- Taxonomy Code
- 2088P0231X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 77347
- License State
- CT
- Taxonomy Description
- Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
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 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Eric Bortnick is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1477915437, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477915437, enumerated as an "individual" on March 28, 2016.
The provider is located at 789 HOWARD AVE # FMP309 NEW HAVEN, CT 06519 and the phone number is (203) 785-7671.
Urology with taxonomy code 2088P0231X and a focus in Pediatric Urology.
