NPIMap

Individual provider Active NPI

David Anthony Ehrlich, M.D.

  • Plastic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1962652198
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD448869 Issued in PA
Practice address
1601 Walnut St Ste 208
Philadelphia, PA 19102-2902
Phone
(215) 372-5000
Fax
(215) 372-6000
NPI assigned
Sep 24, 2008
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 250126 NY
Plastic Surgery Physician 208200000X 25MA09763300 NJ
Plastic Surgery Physician 208200000X MD448869 PA Primary

Addresses

Primary practice location

1601 Walnut St Ste 208
Philadelphia, PA 19102-2902

Mailing address

1601 Walnut St Ste 208
Philadelphia, PA 19102-2902
Phone (215) 372-5000

Other identifiers 1

IdentifierTypeStateIssuer
651851MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140804001631 PA Practitioner - Plastic and Reconstructive Surgery 2961629696 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-5030

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09763300NJMDPlastic Surgery Physician
250126NYMDPlastic Surgery Physician
MD448869PAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Aug 10, 2020 Accepting new patients
STC Pediatrics LLC Current Accepting new patients
STC Pediatrics LLC CurrentSince Aug 30, 2020 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Dec 1, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Aug 10, 2020 Accepting new patients
STC Pediatrics LLC CurrentSince Aug 30, 2020 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Dec 1, 2021 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
American Oncologic Hospital Past Accepting new patients

Locations

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

7500 Central Ave
Philadelphia, PA 19111
Phone (215) 214-4100

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Organizations & group practices 11

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1962652198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST STE 208",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022902",
            "telephone_number": "215-372-5000",
            "fax_number": "215-372-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST STE 208",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022902",
            "telephone_number": "215-372-5000",
            "fax_number": "215-372-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRLICH",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "250126",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA09763300",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD448869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651851",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.