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DR. RANDALL VICTOR EHRLICH M.D
NPI 1902996606
Orthopaedic Surgery - Sports Medicine in Bronx, NY

Active since October 13, 2006PECOS Enrolled
625 E FORDHAM RD, BRONX, NY 10458(718) 933-1900(718) 563-4039 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Randall Victor Ehrlich M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDALL VICTOR EHRLICH M.D (NPI 1902996606) is an individual sports medicine provider in Bronx, New York, licensed in New York (198606) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902996606
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. RANDALL VICTOR EHRLICHCredential: M.D
Location Address625 E FORDHAM RDBronx, NY 10458-5049
Mailing Address625 E Fordham RdBronx, NY 10458-5049 · (718) 933-1900 · Fax (718) 563-4039
Phone(718) 933-1900
Fax(718) 563-4039
Sole ProprietorYes
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902996606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in NY · 198606
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
625 E FORDHAM RD, Bronx, NY 10458
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randall Victor Ehrlich M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Randall Ehrlich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ny Mobile Medical PC
14 mi
Specialist
6 MAIDEN LN RM 500
New York, NY 10038
  • Reassigned Medicare billing, New York enrollment
  • 19 clinicians in this Medicare group
NPI 1578009270 (212) 233-3040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. EMILY ELIZABETH HERMAN PA-C
Physician Assistant
625 E FORDHAM RD
BRONX, NY 10458
Bronx County (718) 933-1900
DR. LINDA ANNE SHOOKSTER M.D.
Internal Medicine (Rheumatology)
625 E FORDHAM RD
BRONX, NY 10458
Bronx County (718) 933-1900
MEDALLIANCE MEDICAL HEALTH SERVICES
Durable Medical Equipment & Medical Supplies (Customized Equipment)
625 E FORDHAM RD
BRONX, NY 10458
Bronx County (718) 933-1900
MEDALLIANCE MEDICAL HEALTH SERVICES
Clinic/Center (Multi-Specialty)
625 E FORDHAM RD
BRONX, NY 10458
Bronx County (718) 933-1900
VIVIAN WELTON RPA
Physician Assistant
625 E FORDHAM RD
BRONX, NY 10458
Bronx County (718) 933-1900
RENAISSANCE ADULT DAY SERVICES LLC
Clinic/Center (Adult Day Care)
625 E FORDHAM RD
BRONX, NY 10458
Bronx County (718) 362-8122
MAHEKKUMAR C DESAI RPT
Physical Therapist
625 E FORDHAM RD
BRONX, NY 10458
Bronx County (718) 933-1900
DIANA E DANESHVAR RN
Registered Nurse
625 E FORDHAM RD
BRONX, NY 10458
Bronx County (718) 933-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Ehrlich's NPI number?

The NPI number for Randall Ehrlich is 1902996606. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Randall Ehrlich located?

Randall Ehrlich practices at 625 E Fordham Rd, Bronx, NY 10458. The listed phone number is (718) 933-1900.

What is Randall Ehrlich's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Randall Ehrlich enrolled in Medicare?

Yes. Randall Ehrlich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Randall Ehrlich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Ehrlich reassigns Medicare benefits to Ny Mobile Medical PC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randall Ehrlich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Randall Ehrlich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.