Individual provider Active NPI

David Ehrlich

  • Foot & Ankle Surgery Podiatrist
  • Woodbury, NY
National Provider Identifier
1013442243
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SN007071-01 Issued in NY
Practice address
61 Eagle Chase
Woodbury, NY 11797-2915
Phone
(617) 470-8982
NPI assigned
Apr 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SN007071-01 NY Primary

Addresses

Primary practice location

61 Eagle Chase
Woodbury, NY 11797-2915

Mailing address

245 E 44TH St
14B
New York, NY 10017-4337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200825002463 NY Practitioner - Podiatry 1759708522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

5901 69TH St
Maspeth, NY 11378-2946
Phone (718) 639-3338

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue65
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007071NYMDAcupuncturist
SN007071-01NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Podiatry of Huntington PLLC Foot & Ankle Surgery CurrentSince Jul 1, 2020 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

181 Main St
Huntington, NY 11743
Phone (631) 335-3584

181 Main St
Ste 207
Huntington, NY 11743
Phone (516) 869-3300

5901 69th St
Maspeth, NY 11378
Phone (718) 639-3338

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

575 Underhill Blvd
Ste 190
Syosset, NY 11791
Phone (516) 210-8840

575 Underhill Blvd
Ste 181
Syosset, NY 11791
Phone (516) 364-9800

575 Underhill Blvd
Ste 130
Syosset, NY 11791
Phone (516) 294-9540

Philadelphia, PA 19195

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1013442243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E 44TH ST",
            "address_2": "14B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 EAGLE CHASE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972915",
            "telephone_number": "617-470-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRLICH",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "SN007071-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.