NPIMap

Organization Active NPI

Riverhead Medical & Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Massapequa, NY
National Provider Identifier
1912519455
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
RIVERHEAD MEDICAL & REHABILITATION PC
Practice address
4160 Merrick Rd Ste 3
Massapequa, NY 11758-6027
Phone
(631) 255-3110
NPI assigned
Aug 17, 2020
Last updated
Mar 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Mitchell Ehrlich, MDNPI 1669510913
Title
President
Phone
(631) 239-8262

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
Physical Medicine & Rehabilitation Physician 208100000X 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

Other practice location 1

550 E Main St
Riverhead, NY 11901-2672
Phone (631) 591-3093

National Provider Directory

National Provider Directory

Locations

550 E Main St
Riverhead, NY 11901
Phone (631) 369-1277

550 E Main St
Ste 100
Riverhead, NY 11901
Phone (631) 255-3110

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1912519455",
    "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": [
        {
            "address_1": "550 E Main St",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012672",
            "country_code": "US",
            "telephone_number": "631-591-3093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVERHEAD MEDICAL & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-239-8262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "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 Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.