Organization Active NPI

Josh C Ehrlich DPM PC

  • Health Service Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1962789933
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
004077 Issued in NY
Legal business name
JOSH C EHRLICH DPM PC
Practice address
1535 51St St
Brooklyn, NY 11219-3738
Phone
(718) 436-8886
Fax
(718) 436-1267
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Josh Ehrlich, DPMNPI 1750488417
Title
President
Phone
(516) 295-4898

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
Health Service Clinic/Center 261QH0100X 004077 NY Primary

Addresses

Primary practice location

1535 51St St
Brooklyn, NY 11219-3738

Mailing address

260 Linwood Ave
Cedarhurst, NY 11516-1720
Phone (516) 295-4898

Other identifiers 1

IdentifierTypeStateIssuer
00969104MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111206000338 NY Part B Supplier - Clinic/Group Practice 8820263601 Receives reassigned benefits from 4 practitioners
Practice locations: Whitestone, NY; Maspeth, NY; Little Neck, NY; Huntington Station, NY; Hempstead, NY; Flushing, NY; Freeport, NY; Ballston Spa, NY…
O20230816003215 NJ Part B Supplier - Clinic/Group Practice 8820263601 Receives reassigned benefits from 1 practitioner
Practice locations: Pennsauken, NJ

National Provider Directory

National Provider Directory

Locations

1535 51st St
Brooklyn, NY 11219
Phone (718) 436-8886

Practitioners & affiliated clinicians

Practitioners 7

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": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1962789933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 LINWOOD AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161720",
            "telephone_number": "516-295-4898",
            "fax_number": "718-336-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 51ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193738",
            "telephone_number": "718-436-8886",
            "fax_number": "718-436-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSH C EHRLICH DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-295-4898",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "004077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00969104",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.