Organization Active NPI

Libby Buscemi, MD PC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1275691909
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
212372 Issued in NY
Legal business name
LIBBY BUSCEMI, MD PC
Practice address
176 E 71St St
New York, NY 10021-5159
Phone
(212) 734-7546
Fax
(212) 734-2496
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Dr. Libby Buscemi, MDNPI 1710044599
Title
President
Phone
(212) 734-7546

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 212372 NY Primary

Addresses

Primary practice location

176 E 71St St
New York, NY 10021-5159

Mailing address

176 E 71St Street
Ground Floor
New York, NY 10021-5159
Phone (212) 734-7546

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041112000846 NY Part B Supplier - Clinic/Group Practice 3678537396 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

176 E 71st St
New York, NY 10021
Phone (212) 734-7546

Practitioners & affiliated clinicians

Practitioners 2

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1275691909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 E 71ST STREET",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215159",
            "telephone_number": "212-734-7546",
            "fax_number": "212-734-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 E 71ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215159",
            "telephone_number": "212-734-7546",
            "fax_number": "212-734-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBBY BUSCEMI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "BUSCEMI",
        "authorized_official_first_name": "LIBBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-734-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "212372",
            "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 Feb 9, 2011; 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.