Organization Active NPI

Aesthetic Medical Associates PLLC Dba Liberty Obs

  • Obstetrics Physician
  • Flushing, NY
National Provider Identifier
1063824514
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
AESTHETIC MEDICAL ASSOCIATES PLLC DBA LIBERTY OBS
Practice address
3701 Main St
Suite 5B
Flushing, NY 11354-6538
Phone
(718) 888-0018
NPI assigned
Jun 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Dr. Robert Rho, M.D.
Title
President
Phone
(718) 888-0018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

3701 Main St
Suite 5B
Flushing, NY 11354-6538

Mailing address

3701 Main St
Suite 5B
Flushing, NY 11354-6538
Phone (718) 888-0018

National Provider Directory

National Provider Directory

Locations

3701 Main St
Ste 5B
Flushing, NY 11354
Phone (718) 888-0018

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1063824514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 MAIN ST",
            "address_2": "SUITE 5B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546538",
            "telephone_number": "718-888-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 MAIN ST",
            "address_2": "SUITE 5B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546538",
            "telephone_number": "718-888-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC MEDICAL ASSOCIATES PLLC DBA LIBERTY OBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "RHO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-888-0018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.