Individual provider Active NPI

Michael Ehrenreich, M.D.

  • Dermatology Physician
  • Millburn, NJ
National Provider Identifier
1124249644
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA08503900 Issued in NJ
Practice address
90 Millburn Ave
Suite 206
Millburn, NJ 07041-1945
Phone
(973) 763-7546
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA08503900 NJ Primary

Addresses

Primary practice location

90 Millburn Ave
Suite 206
Millburn, NJ 07041-1945

Mailing address

90 Millburn Ave
Suite 206
Millburn, NJ 07041-1945
Phone (973) 763-7546

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
I20101124000951 NJ Practitioner - Dermatology 6406042852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rutgers New Jersey Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

275 -277 Forest Ave
Suite 120
Paramus, NJ 07652-5419
Phone (973) 763-7546

90 Millburn Ave
Suite 206
Millburn, NJ 07041-1933
Phone (973) 763-7546

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of skin lesions111
Removal of skin cancer1-10
Skin biopsy82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Skin & Laser, LLC Dermatology CurrentSince Jul 26, 2010 Accepting new patients
Ovadia Plastic Surgery LLC PastSince Dec 10, 2025 Accepting new patients

Locations

90 Millburn Ave
Ste 206
Millburn, NJ 07041
Phone (201) 310-3665

275-277 Forest Ave
Ste 120
Paramus, NJ 07652
Phone (973) 763-7546

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1124249644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MILLBURN AVE",
            "address_2": "SUITE 206",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411945",
            "telephone_number": "973-763-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MILLBURN AVE",
            "address_2": "SUITE 206",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411945",
            "telephone_number": "973-763-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENREICH",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA08503900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.