Active NPI
Luis J Ehrman Sr., ANP-C
- Adult Health Nurse Practitioner
- Port Jefferson Station, NY
National Provider Identifier
1568617645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 304949
- Practice address
- 22 Mississippi Ave
Port Jefferson Station, NY 11776-3012 - Phone
- (631) 476-7116
- NPI assigned
- Nov 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 304949 | NY | Primary |
Addresses
Primary practice location
22 Mississippi Ave
Port Jefferson Station, NY 11776-3012
Mailing address
22 Mississippi Ave
Port Jefferson Station, NY 11776-3012
Phone (631) 790-1239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6 Frowein Rd
Center Moriches, NY 11934-1604
Phone (631) 878-4400
Merit-based Incentive Payment System (MIPS)
- Final score
- 26.23 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 87.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Organizations & group practices 1
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.
-
- Skilled Nursing Facility
- Port Jefferson Station, NY
- NPI 1265863245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226880000000",
"number": "1568617645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 MISSISSIPPI AVE",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117763012",
"telephone_number": "631-790-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 MISSISSIPPI AVE",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117763012",
"telephone_number": "631-476-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRMAN",
"first_name": "LUIS",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "ANP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-17",
"last_updated": "2008-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "304949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.