Active NPI
Dae Sik Rho, M.D.
- Specialist
- New York, NY
National Provider Identifier
1174698302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 121762
- Practice address
- 100 E 77TH St
Second Floor
New York, NY 10021-1850 - Phone
- (212) 439-0008
- Fax
- (212) 439-1800
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 121762 | NY | Primary |
Addresses
Primary practice location
100 E 77TH St
Second Floor
New York, NY 10021-1850
Mailing address
100 E 77TH St
Second Floor
New York, NY 10021-1850
Phone (212) 439-0008
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000001271 | Other | NY | AFFINITY HEALTHCARE |
| D0228762 | Medicaid | NY | |
| 0955521 | Other | NY | AETNA US HEALTHCARE |
| 0982198 | Other | NY | CIGNA |
| 010121762NY01 | Other | NY | ANTHEM HEALTH |
| 0025061 | Other | NY | GHI |
| 15676P | Other | NY | HIP |
| 4350A | Other | NY | MAGNACARE |
| 2100044 | Other | NY | CHUBB |
| 300211 | Other | NY | EMPIRE BCBS |
| P382307 | Other | NY | OXFORD |
| 00026350 | Other | NY | INDEPENDENT HEALTH |
| 1214342460 | Other | NY | FIRST HEALTH |
| 164799 | Other | NY | ELDER PLAN |
| 582159 | Other | NY | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131114001946 | NY | Practitioner - Physical Medicine and Rehabilitation | 0143456459 | Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Medical Rehabilitation Associates, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Bayside, NY
- NPI 1750468831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174698302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"address_2": "SECOND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100211850",
"telephone_number": "212-439-0008",
"fax_number": "212-439-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"address_2": "SECOND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100211850",
"telephone_number": "212-439-0008",
"fax_number": "212-439-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHO",
"first_name": "DAE SIK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "121762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY HEALTHCARE",
"identifier": "1000001271",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D0228762",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "0955521",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0982198",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTH",
"identifier": "010121762NY01",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0025061",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "15676P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "4350A",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHUBB",
"identifier": "2100044",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "300211",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P382307",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "00026350",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1214342460",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDER PLAN",
"identifier": "164799",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "582159",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.