Individual provider Active NPI

Libby R Copeland-Halperin, MD

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1366876534
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
307039 Issued in NY
Practice address
1001 5TH Ave
New York, NY 10028-0107
Phone
(212) 452-2200
Fax
(212) 452-2208
NPI assigned
Aug 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 307039 NY Primary

Addresses

Primary practice location

1001 5TH Ave
New York, NY 10028-0107

Mailing address

1001 5TH Ave
New York, NY 10028-0107
Phone (212) 452-2200

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
I20220712001902 NY Practitioner - Plastic and Reconstructive Surgery 3072817261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Icahn School of Medicine at Mount Sinai, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michelle Copeland DMD MD PCGroup PAC ID 8325206451, 2 clinicians

Practice addresses (Care Compare)

1001 5TH Ave
New York, NY 10028-0107
Phone (212) 452-2200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307039NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Copeland DMD MD PC Plastic Surgery CurrentSince Mar 30, 2022 Accepting new patients
Reconstructive Surgery Offices, P.C. PastSince Mar 30, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: libbycopeland-halperin@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: lcopelandhalperin67958@northwell.direct-ci.com

Organizations & group practices 2

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": "1377302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1366876534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280107",
            "telephone_number": "212-452-2200",
            "fax_number": "212-452-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280107",
            "telephone_number": "212-452-2200",
            "fax_number": "212-452-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND-HALPERIN",
        "first_name": "LIBBY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-24",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "307039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.