JOHN J BOMALASKI MD PA – NPI #1174596167
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

JOHN J BOMALASKI MD PA is a provider located in MELBOURNE, FL. NPPES has assigned the NPI number 1174596167 to JOHN J BOMALASKI MD PA on February 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN J BOMALASKI MD PA below.

NPI Profile for
JOHN J BOMALASKI MD PA

NPI Number
1174596167
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOHN J BOMALASKI MD PA
Primary location
7000 SPYGLASS CT
SUITE 300
MELBOURNE, FL 32940-8288
Phone: (321) 752-0944 Fax: (321) 752-0756
Mailing address
PO BOX 560730
ROCKLEDGE, FL 32956-0730
Phone: (321) 752-0944 Fax: (321) 752-0756
Organization Subpart
No
Authorized Official
JOHN BOMALASKI
OWNER
Phone: (321) 434-4656
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.