NPIMap

Organization Active NPI

Westhampton Medical & Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Westhampton Beach, NY
National Provider Identifier
1013529551
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
WESTHAMPTON MEDICAL & REHABILITATION PC
Practice address
10 Old Riverhead Rd Unit a
Westhampton Beach, NY 11978-1460
Phone
(631) 369-4292
NPI assigned
Aug 17, 2020
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Mitchell Ehrlich, MDNPI 1669510913
Title
President
Phone
(631) 255-3110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

10 Old Riverhead Rd Unit a
Westhampton Beach, NY 11978-1460

Mailing address

939 Gerry Ave
Lido Beach, NY 11561-5216
Phone (631) 255-3110

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1013529551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 GERRY AVE",
            "city": "LIDO BEACH",
            "state": "NY",
            "postal_code": "115615216",
            "telephone_number": "631-255-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OLD RIVERHEAD RD UNIT A",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781460",
            "telephone_number": "631-369-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTHAMPTON MEDICAL & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-255-3110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westhampton Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.