Active NPI
Conrad Paul Ehrlich, M.D.
- Diagnostic Radiology Physician
- Danbury, CT
National Provider Identifier
1053359893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 025510
- Practice address
- 67 Sand Pit Rd Ste 105
Housatonic Valley Radiological Assoc. PC
Danbury, CT 06810-4032 - Phone
- (203) 797-1770
- Fax
- (203) 796-7839
- NPI assigned
- Jun 3, 2006
- Last updated
- Mar 31, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 025510 | CT | |
| Diagnostic Radiology Physician | 2085R0202X | 025510 | CT | Primary |
Addresses
Primary practice location
67 Sand Pit Rd Ste 105
Housatonic Valley Radiological Assoc. PC
Danbury, CT 06810-4032
Mailing address
67 Sand Pit Rd
Northeast Radiology
Danbury, CT 06810-4032
Phone (203) 797-1770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025510 | CT | MD | Diagnostic Radiology Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physiological Laboratory
- Danbury, CT
- NPI 1013152792
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Danbury, CT
- NPI 1508043613
-
- Diagnostic Radiology Physician
- Danbury, CT
- NPI 1902096324
-
- Diagnostic Radiology Physician
- Danbury, CT
- NPI 1932583630
-
- Diagnostic Radiology Physician
- New Milford, CT
- NPI 1598149098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1053359893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 SAND PIT RD",
"address_2": "NORTHEAST RADIOLOGY",
"city": "DANBURY",
"state": "CT",
"postal_code": "068104032",
"telephone_number": "203-797-1770",
"fax_number": "845-278-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 SAND PIT RD STE 105",
"address_2": "HOUSATONIC VALLEY RADIOLOGICAL ASSOC. PC",
"city": "DANBURY",
"state": "CT",
"postal_code": "068104032",
"telephone_number": "203-797-1770",
"fax_number": "203-796-7839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRLICH",
"first_name": "CONRAD",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "025510",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "025510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.