Organization Active NPI

Michael P Ehrenhaus, MD, PC

  • Ophthalmology Physician
  • Queens Village, NY
National Provider Identifier
1427388206
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
219684 Issued in NY
Legal business name
MICHAEL P EHRENHAUS, MD, PC
Doing business as
New York Cornea Consultants
Practice address
21715 Peck Ave
Queens Village, NY 11427-1117
Phone
(718) 428-8400
Fax
(718) 425-0903
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Dr. Michael Ehrenhaus, M.D.NPI 1609859123
Title
Director
Phone
(718) 428-8400

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
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 219684 NY Primary

Addresses

Primary practice location

21715 Peck Ave
Queens Village, NY 11427-1117

Mailing address

4402 Francis Lewis Blvd
Suite 2B
Bayside, NY 11361-3041
Phone (718) 425-0903

Other identifiers 1

IdentifierTypeStateIssuer
02201150MedicaidNY

Other names 1

  • New York Cornea Consultants Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100317000166 NY Part B Supplier - Clinic/Group Practice 6204961154 Receives reassigned benefits from 1 practitioner
Practice locations: Queens Village, NY; Bayside, NY

National Provider Directory

National Provider Directory

Locations

4402 Francis Lewis Blvd
Ste 2B
Bayside, NY 11361
Phone (718) 425-0903

Practitioners & affiliated clinicians

Practitioners 1

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": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1427388206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 FRANCIS LEWIS BLVD",
            "address_2": "SUITE 2B",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613041",
            "telephone_number": "718-425-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21715 PECK AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271117",
            "telephone_number": "718-428-8400",
            "fax_number": "718-425-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P EHRENHAUS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "EHRENHAUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-428-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "219684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02201150",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Cornea Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.