Individual provider Active NPI

Libby Rhee, D.O.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1265738884
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
259971 Issued in NY
Practice address
110 E 60TH St Ste 800
New York, NY 10022-1694
Phone
(212) 433-4554
NPI assigned
Jan 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 259971 NY Primary

Addresses

Primary practice location

110 E 60TH St Ste 800
New York, NY 10022-1694

Mailing address

10 Hanover SQ
Apt 19G
New York, NY 10005-3510
Phone (917) 940-1010

Other practice location 1

150 W 55th St
New York, NY 10019-5586
Phone (212) 991-6490

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120810000102 NY Practitioner - Dermatology 9931355732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 E 60TH St
RM 800
New York, NY 10022-1812

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

110 E 60TH St RM
Suite 800
New York, NY 10022-1812

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Skin biopsy15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
259971NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Specs of PA PLLC Dermatology CurrentSince Feb 25, 2024 Accepting new patients
Libby Rhee DO Dermatology PLLC Dermatology CurrentSince Jan 4, 2020 Accepting new patients
Sadick Aesthetic Surgery and Dermatology Dermatology Past Accepting new patients

Locations

1027 46th Ave
Fl 1
Long Island City, NY 11101

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

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1265738884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HANOVER SQ",
            "address_2": "APT 19G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100053510",
            "telephone_number": "917-940-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST STE 800",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221694",
            "telephone_number": "212-433-4554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W 55th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100195586",
            "country_code": "US",
            "telephone_number": "212-991-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHEE",
        "first_name": "LIBBY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "259971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.