Active NPI
Josh C Ehrlich DPM PC
- Health Service Clinic/Center
- Brooklyn, NY
National Provider Identifier
1962789933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 004077
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Josh Ehrlich, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00969104 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Primary Podiatric Medicine Podiatrist
- Staten Island, NY
- NPI 1710018007
NJ
-
- Pharmacist
- Brooklyn, NY
- NPI 1275701898
-
- Pharmacist
- Brooklyn, NY
- NPI 1750267357
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.