Individual provider Active NPI

Harold B. Ehrlich, M.D.

  • Internal Medicine Physician
  • Bound Brook, NJ
National Provider Identifier
1114921582
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04637300 Issued in NJ
Practice address
601 W Union Ave
Bound Brook, NJ 08805-1166
Phone
(732) 469-3627
Fax
(732) 667-3708
NPI assigned
Jun 13, 2005
Last updated
Dec 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04637300 NJ Primary

Addresses

Primary practice location

601 W Union Ave
Bound Brook, NJ 08805-1166

Mailing address

601 W Union Ave
Bound Brook, NJ 08805-1166
Phone (732) 469-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060113000817 NJ Practitioner - Internal Medicine 6002830213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Irish MedicalGroup PAC ID 0941451215, 34 clinicians

Practice addresses (Care Compare)

1085 Whitehorse Mercerville Rd
Hamilton Township, NJ 08610-1424
Phone (215) 648-9000

214 Hwy 36
West Long Branch, NJ 07764-1305
Phone (732) 222-8000

601 W Union Ave
Bound Brook, NJ 08805-1166
Phone (732) 469-3627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Irish Medical CurrentSince Nov 1, 2014 Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

67 E Ridgewood Ave
#U
Paramus, NJ 07652
Phone (201) 262-2010

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1114921582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W UNION AVE",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051166",
            "telephone_number": "732-469-3627",
            "fax_number": "732-667-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W UNION AVE",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051166",
            "telephone_number": "732-469-3627",
            "fax_number": "732-667-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRLICH",
        "first_name": "HAROLD",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04637300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bound Brook, NJ

Sources for this page

Verify at the official NPI Registry.