Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Fredric Bomback, MD

Pediatrics Physician in Hartsdale, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417935628

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Registry record

Entity type Individual (Type 1)

Name Dr. Fredric Bomback

Credential MD

Sex Male

Practice address 99 Fieldstone Dr, Hartsdale, NY, 10530

Phone (914) 428-2120

Enumeration date Jan 6, 2006

Last updated in NPPES Jan 28, 2014

Taxonomy & licenses

207PP0204X Pediatric Emergency Medicine (Emergency Medicine) Physician Allopathic & Osteopathic Physicians · License 106826 (NY) Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 106826 (NY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1C7501	Other	NY	HEALTH NET
132625705	Other	NY	UNITED HEALTHCARE
14733	Other	NY	HEALTHSOURCE
WP235	Other	NY	OXFORD
0124825	Other	NY	AETNA HMO
6301220003	Other	NY	CIGNA
5238573	Other	NY	AETNA PPO
00187682	Medicaid	NY	-
132625705	Other	NM	POMCO
712981	Other	NY	EMPIRE BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Fredric Bomback's NPI record?

Cross-check NPI 1417935628 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1417935628 active?

Yes, as of the latest NPPES snapshot, NPI 1417935628 is active (record last updated 2014-01-28).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-28.