Randall Victor Ehrlich, M.D

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

198606 Issued in NY

Practice address

625 E Fordham Rd
Bronx, NY 10458-5049

Phone

(718) 933-1900

Fax

(718) 563-4039

NPI assigned

Oct 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ny Mobile Medical PC

  • Specialist
  • New York, NY
  • NPI 1578009270
  Medicare reassignment NPD
• Premier Surgical Services, P.C.

  • Surgical Physician Assistant
  • Scarsdale, NY
  • NPI 1093995193
  NPD (past) Authorized official
• Randall V. Ehrlich MD PC

  • Orthopaedic Surgery Physician
  • Bronx, NY
  • NPI 1821273335
  Authorized official Same address or phone
• Ny Mobile Medical PC

  • Specialist
  • Leesburg, FL
  • NPI 1740865773
  NPD
• Boro Medical, P.C.

  • Surgical Physician Assistant
  • Bronx, NY
  • NPI 1528086584
  NPD (past)
• Boro Medical, P.C.

  • Podiatrist
  • Long Island City, NY
  • NPI 1588682454
  NPD (past)
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902996606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585049",
            "telephone_number": "718-933-1900",
            "fax_number": "718-563-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585049",
            "telephone_number": "718-933-1900",
            "fax_number": "718-563-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRLICH",
        "first_name": "RANDALL",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "198606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ehmeth Medical Services, PC
• Azimah Pilus Ehr, M.D.
• Kenneth Ehrensall, OD
• Amy R Ehrlich, MD
• Darie Ehrlich, DNP
• Amirreza Ehsani, MD
• Nadira Islam Ehtesham
• Patrick Spencer Eiben, M.D.
• Alisia Eichwald
• Muhammad Eid, PA-C

• Sports Medicine (Orthopaedic Surgery) Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.