Mitchell W Ehrlich, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

155061 Issued in NY

Practice address

1055 Portion Rd
Suite 124
Farmingville, NY 11738-2299

Phone

(631) 736-4321

Fax

(631) 736-4370

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mwe Medical PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Massapequa, NY
  • NPI 1730983008
  Medicare reassignment NPD Authorized official
• Sayville Medical and Rehab PC

  • Physical Medicine & Rehabilitation Physician
  • Sayville, NY
  • NPI 1134659386
  Medicare reassignment NPD Authorized official
• Riverhead Medical & Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Massapequa, NY
  • NPI 1912519455
  NPD Authorized official
• Setauket Medical & Rehabilitation PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • East Setauket, NY
  • NPI 1811509409
  NPD Authorized official
• Westhampton Medical & Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Westhampton Beach, NY
  • NPI 1013529551
  NPD Authorized official
• Suffolk Nurse Practitioner in Family Health PC

  • Family Nurse Practitioner
  • East Setauket, NY
  • NPI 1255280467
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1669510913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 GERRY AVE",
            "city": "LIDO BEACH",
            "state": "NY",
            "postal_code": "115615216",
            "telephone_number": "631-736-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 PORTION RD",
            "address_2": "SUITE 124",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382299",
            "telephone_number": "631-736-4321",
            "fax_number": "631-736-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRLICH",
        "first_name": "MITCHELL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "155061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01023707",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steve Robert Drago Jr., LPC-A
• Kelsey Dunlop, RD, CDN
• Julie Ellyn Dwyer, CCC-SLP
• Jeanne Edelman
• Matthew Edwards
• Lizzie Espinal, MASTERS
• Patricia A Faele, MS
• Benjamin Farmer, M.D.
• Farmingville Fire District
• Farmingville Mental Health

• Physical Medicine & Rehabilitation Physician in Farmingville, NY
• Providers in Farmingville, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.