Active NPI
Brian Ehrlich, D.D.S.
- Periodontics
- Englewood Cliffs, NJ
National Provider Identifier
1013184993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 18178
- Practice address
- 300 Sylvan Ave
Englewood Cliffs, NJ 07632-2525 - Phone
- (914) 393-5297
- NPI assigned
- May 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 18178 | NJ | Primary |
Addresses
Primary practice location
300 Sylvan Ave
Englewood Cliffs, NJ 07632-2525
Mailing address
PO Box 543
Tallman, NY 10982-0543
Phone (914) 393-5297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231204001533 | NJ | Order and Referring Only - Dentist | 2062739014 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18178 | NJ | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1013184993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 543",
"city": "TALLMAN",
"state": "NY",
"postal_code": "109820543",
"telephone_number": "914-393-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SYLVAN AVE",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076322525",
"telephone_number": "914-393-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRLICH",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-10",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "18178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood Cliffs, NJ
- East Pulamonary & Sleep, LLC
- Eastern Plaza Physical Therapy PC
- Ec Chiropractic and Rehab
- Edge Acupuncture Professional Corporation
- Egeba, Inc.
- Nicolas Elian, DDS
- Zeinab Fathy Eltouny, PT
- Englewood Cliffs Anesthesia LLC
- Englewood Cliffs Rehabilitative Services Inc.
- Englewood Cliffs Surgery Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.