NPIMap

Organization Active NPI

Revolution PS, P.C.

Doing business as Ehrlich Plastic Surgery

  • Plastic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1033693718
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
REVOLUTION PS, P.C.
Doing business as
Ehrlich Plastic Surgery
Practice address
1601 Walnut St Ste 208
Philadelphia, PA 19102-2902
Phone
(215) 372-5000
Fax
(215) 372-6000
NPI assigned
Sep 19, 2018
Last updated
Nov 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

Name
David Anthony Ehrlich, MDNPI 1962652198
Title
Owner
Phone
(215) 372-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

1601 Walnut St Ste 208
Philadelphia, PA 19102-2902

Mailing address

1601 Walnut St Ste 208
Philadelphia, PA 19102-2902
Phone (215) 372-5000

Other names 1

  • Ehrlich Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1033693718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST STE 208",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022902",
            "telephone_number": "215-372-5000",
            "fax_number": "215-372-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST STE 208",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022902",
            "telephone_number": "215-372-5000",
            "fax_number": "215-372-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION PS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-372-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ehrlich Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ehrlich Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.