MEDICARE: DR. IRA NEIL BACHMAN MD,FACOG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	192114	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P00089322	OTHER	NY	MEDICARE RAILROAD
8	06230I	OTHER	NY	GUEENS MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5111079	OTHER	NY	AETNA
2	9335843	OTHER	NY	CIGNA
3	OC6527	OTHER	NY	PHYSICIANS HEALTH
4	QU49278	OTHER	NY	MDNY
5	0202045	OTHER	NY	GHI
6	20889	OTHER	NY	HIP
9	60340	OTHER	NY	VYTRA
10	553328	OTHER	NY	HEALTHCARE PARTNERS
11	700890	OTHER	NY	UNITED HEALTHCARE
12	AP985	OTHER	NY	OXFORD
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	529801	OTHER	NY	USHC
15	200151	OTHER	NY	BLUE/CROSS BLUE/SHEILD
16	NS0001694	OTHER	NY	SELECT

General Provider Information

NPI Number	:	1114921848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRA NEIL BACHMAN MD,FACOG

Provider Business Mailing Address
First Line	:	660 CENTRAL AVE
Second Line	:
City	:	CEDARHURST
State	:	NY
Zip	:	11516-2303
Country	:	US
Telephone Number	:	516-374-1777
Fax Number	:	516-295-9245

Provider Business Practice Location Address
First Line	:	660 CENTRAL AVE
Second Line	:
City	:	CEDARHURST
State	:	NY
Zip	:	11516-2303
Country	:	US
Telephone Number	:	516-374-1777
Fax Number	:	516-295-9245

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	09/07/2023

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