Organization Active NPI

Jon J Ehrich LLC

  • Physical Medicine & Rehabilitation Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1942595996
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS6711 Issued in FL
Legal business name
JON J EHRICH LLC
Practice address
2401 Pga Blvd
Suite 130
Palm Beach Gardens, FL 33410-3590
Phone
(561) 656-2666
Fax
(561) 626-7593
NPI assigned
Jun 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Dr. Jon J Ehrich, DONPI 1528002771
Title
Owner/ President
Phone
(561) 656-2666

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X OS6711 FL Primary

Addresses

Primary practice location

2401 Pga Blvd
Suite 130
Palm Beach Gardens, FL 33410-3590

Mailing address

2401 Pga Blvd
Suite 130
Palm Beach Gardens, FL 33410-3590
Phone (561) 656-2666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110726000270 FL Part B Supplier - Clinic/Group Practice 0840468484 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL; Palm Beach Gardens, FL; Lake Worth, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1942595996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PGA BLVD",
            "address_2": "SUITE 130",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103590",
            "telephone_number": "561-656-2666",
            "fax_number": "561-626-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PGA BLVD",
            "address_2": "SUITE 130",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103590",
            "telephone_number": "561-656-2666",
            "fax_number": "561-626-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON J EHRICH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "EHRICH",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "561-656-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS6711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.