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ERIC MAX BORTNICK M.D.
NPI 1477915437
Urology - Pediatric Urology in New Haven, CT

Active since March 28, 2016PECOS Enrolled
789 HOWARD AVE # FMP309, NEW HAVEN, CT 06519(203) 785-7671 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 24, 2024, Mar 28, 2016 (2 updates tracked since 2016).

About Eric Max Bortnick M.d. NPPES

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

ERIC MAX BORTNICK M.D. (NPI 1477915437) is an individual pediatric urology provider in New Haven, Connecticut, licensed in Connecticut (77347) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477915437
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameERIC MAX BORTNICKCredential: M.D.
Location Address789 HOWARD AVE # FMP309New Haven, CT 06519-1304
Mailing Address789 Howard Ave # Fmp309New Haven, CT 06519-1304 · (203) 785-7671
Phone(203) 785-7671
Sole ProprietorYes
Enumeration DateMarch 28, 2016
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1477915437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in CT · 77347
Definition
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).
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
789 HOWARD AVE # FMP309, New Haven, CT 06519
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Max Bortnick M.d. 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.

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 Eric Bortnick's NPI number?

The NPI number for Eric Bortnick is 1477915437. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Eric Bortnick located?

Eric Bortnick practices at 789 Howard Ave # Fmp309, New Haven, CT 06519. The listed phone number is (203) 785-7671.

What is Eric Bortnick's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Eric Bortnick enrolled in Medicare?

Yes. Eric Bortnick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eric Bortnick was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.