Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew S Bomback, MD

Individual provider Nephrology Physician · NPI 1013129816

Andrew S Bomback, MD is a Nephrology in New York, New York. Graduated from Columbia University College of Physicians and Surgeons in 2003, 23 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
23
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

622 W 168th St Ph 4-124
New York, NY 10032-3720
Phone: (212) 305-0320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 251905 (NY)

Record details

NPI number1013129816
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 4, 2007
Last updated in NPPESAugust 24, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2003 (23 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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