NPIMap

Organization Active NPI

Premier Surgical Services, P.C.

  • Surgical Physician Assistant
  • Scarsdale, NY
National Provider Identifier
1093995193
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
198606 Issued in NY
Legal business name
PREMIER SURGICAL SERVICES, P.C.
Practice address
68 Boulder Ridge Rd
Scarsdale, NY 10583-3150
Phone
(877) 877-8232
Fax
(877) 877-8232
NPI assigned
Nov 6, 2007
Organization subpart
Yes
Parent organization
PREMIER SURGICAL SERVICES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Randall Victor Ehrlich, M.D.NPI 1902996606
Title
President
Phone
(917) 886-5545

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
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X 198606 NY Primary

Addresses

Primary practice location

68 Boulder Ridge Rd
Scarsdale, NY 10583-3150

Mailing address

68 Boulder Ridge Rd
Scarsdale, NY 10583-3150
Phone (877) 877-8232

National Provider Directory

National Provider Directory
Part of
Premier Surgical Services P

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1093995193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 BOULDER RIDGE RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833150",
            "telephone_number": "877-877-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 BOULDER RIDGE RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833150",
            "telephone_number": "877-877-8232",
            "fax_number": "877-877-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGICAL SERVICES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER SURGICAL SERVICES, P.C.",
        "enumeration_date": "2007-11-06",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-886-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "198606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.