Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Luis J Ehrman Sr., ANP-C

Individual provider Adult Health Nurse Practitioner · NPI 1568617645

Mr. Luis J Ehrman Sr., ANP-C is a Nurse Practitioner in Port Jefferson Station, New York. Qualified in 2008, 18 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2008
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Practice location Address checks out

22 Mississippi Ave
Port Jefferson Station, NY 11776-3012
Phone: (631) 476-7116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 304949 (NY)

Record details

NPI number1568617645
Entity typeIndividual (Type 1)
GenderMale
Credentials ANP-C
Sole proprietorYes
NPI enumeratedNovember 17, 2008
Last updated in NPPESNovember 17, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Jefferson Station