Organization Active NPI

Mwe Medical PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Massapequa, NY
National Provider Identifier
1730983008
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
MWE MEDICAL PC
Practice address
4160 Merrick Rd Ste 3
Massapequa, NY 11758-6027
Phone
(631) 255-3110
NPI assigned
Apr 3, 2025
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Dr. Mitchell Ehrlich, MDNPI 1669510913
Title
President
Phone
(631) 255-3110

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
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

4160 Merrick Rd Ste 3
Massapequa, NY 11758-6027

Mailing address

939 Gerry Ave
Lido Beach, NY 11561-5216
Phone (631) 255-3110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250422000431 NY Part B Supplier - Clinic/Group Practice 5991220048 Receives reassigned benefits from 3 practitioners
Practice locations: Moriches, NY; Miller Place, NY; Middle Island, NY; Massapequa, NY

National Provider Directory

National Provider Directory

Locations

691 Route 25A
Miller Place, NY 11764
Phone (631) 744-7848

225 Montauk Hwy
Ste 110
Moriches, NY 11955
Phone (631) 674-7806

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1730983008",
    "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": "631-255-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 MERRICK RD STE 3",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586027",
            "telephone_number": "631-255-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MWE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-255-3110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.