Organization Active NPI

Rhee Plastic Surgery LLC

  • Plastic Surgery Physician
  • Rutherford, NJ
National Provider Identifier
1447554837
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
RHEE PLASTIC SURGERY LLC
Practice address
201 Route 17 North
11TH Floor
Rutherford, NJ 07070
Phone
(201) 882-2554
Fax
(201) 882-2556
NPI assigned
Dec 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Authorized official

Name
Samuel Rhee, M.D.
Title
Sole Member
Phone
(201) 882-2554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

201 Route 17 North
11TH Floor
Rutherford, NJ 07070

Mailing address

201 Route 17 North
11TH Floor
Rutherford, NJ 07070
Phone (201) 882-2554

Other identifiers 1

IdentifierTypeStateIssuer
0100919MedicaidNJ

National Provider Directory

National Provider Directory

Locations

20 Prospect Ave
Ste 801
Hackensack, NJ 07601
Phone (201) 488-8440

201 State Rt 17
Fl 11
Rutherford, NJ 07070
Phone (201) 500-4958

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1447554837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ROUTE 17 NORTH",
            "address_2": "11TH FLOOR",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "07070",
            "telephone_number": "201-882-2554",
            "fax_number": "201-882-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ROUTE 17 NORTH",
            "address_2": "11TH FLOOR",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "07070",
            "telephone_number": "201-882-2554",
            "fax_number": "201-882-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEE PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "RHEE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "201-882-2554",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100919",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.