ERIC BENTOLILA, M.D. PA
NPI 1245357276
Specialist in Ridgewood, NJ

NPI Status: Active since March 23, 2007

Contact Information

615 FRANKLIN TURNPIKE
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 447-1700
Fax: (201) 447-9386

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  • Organization
  • Specialist
  • Accepts Insurance

About ERIC BENTOLILA, M.D. PA

This page provides the complete NPI Profile along with additional information for Eric Bentolila, M.d. Pa, a provider established in Ridgewood, New Jersey operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1245357276 assigned on March 2007. The practitioner's primary taxonomy code is 174400000X with license number 25MA07057600 (NJ). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Clarissa Vega (Office Manager)

NPI
1245357276
Provider Name
ERIC BENTOLILA, M.D. PA
Entity Type
Organization
Location Address
615 FRANKLIN TURNPIKE RIDGEWOOD, NJ 07450
Location Phone
(201) 447-1700
Location Fax
(201) 447-9386
Mailing Address
150 FRANKLIN AVE RIDGEWOOD, NJ 07450
Mailing Phone
(201) 447-1700
Mailing Fax
(201) 447-9386
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2007
Last Update Date
11-04-2019
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
25MA07057600
License State
NJ
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Premier Bronze HSA - EPO
  • Premier Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLARISSA VEGA

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(973) 874-8459

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
2371713000OTHER (01)NJAMERIHEALTH GROUP#

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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.
1245357276
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22856514214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 5 + 1 + 4 + 2 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1245357276 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487726675DR. ERIC Y. BENTOLILA MD
Individual
Specialist615 FRANKLIN TURNPIKE
RIDGEWOOD, NJ 07450
(201) 447-1700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245357276, enumerated in the NPI registry as an "organization" on March 23, 2007

The provider is located at 615 Franklin Turnpike Ridgewood, Nj 07450 and the phone number is (201) 447-1700

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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