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 one year 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 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. | |||||||||
| 1 | 4 | 7 | 7 | 9 | 1 | 5 | 4 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 18 | 1 | 10 | 4 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 8 + 1 + 1 + 0 + 4 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1477915437 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477915437, enumerated in the NPI registry 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
The provider's speciality is Urology with taxonomy code 2088P0231X with a focus in Pediatric Urology
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.
This NPI record was last updated on March 28, 2016. 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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