Active NPI
Michael P Ehrenhaus, MD, PC
- Ophthalmology Physician
- Queens Village, NY
National Provider Identifier
1427388206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 219684
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Ehrenhaus, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02201150 | Medicaid | NY |
Other names 1
- New York Cornea Consultants
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Queens Village, NY
- NPI 1609859123
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.