Organization Active NPI

Libby Rhee DO Dermatology PLLC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1235776485
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LIBBY RHEE DO DERMATOLOGY PLLC
Practice address
110 E 60TH St # 800
New York, NY 10022-1688
Phone
(212) 433-4569
NPI assigned
Dec 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Authorized official

Name
Libby Rhee, DONPI 1265738884
Title
Ceo
Phone
(212) 433-4569

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

110 E 60TH St # 800
New York, NY 10022-1688

Mailing address

110 E 60TH St # 800
New York, NY 10022-1688
Phone (212) 433-4569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200302000955 NY Part B Supplier - Clinic/Group Practice 3678900727 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

110 E 60th St
Rm 800
New York, NY 10022
Phone (212) 433-4554

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1235776485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST # 800",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221688",
            "telephone_number": "212-433-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST # 800",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221688",
            "telephone_number": "212-433-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBBY RHEE DO DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "RHEE",
        "authorized_official_first_name": "LIBBY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-433-4569",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 6, 2019; 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.

Verify at the official NPI Registry.