Active NPI
Tae Gyoun Rho, MD
- Obstetrics & Gynecology Physician
- Flushing, NY
National Provider Identifier
1528105236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 121763
- Practice address
- 13678 39 Ave
Flushing, NY 11354 - Phone
- (718) 539-6600
- Fax
- (718) 939-4929
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 121763 | NY | Primary |
Addresses
Primary practice location
13678 39 Ave
Flushing, NY 11354
Mailing address
9511 101 Ave
Ozone Park, NY 11416
Phone (718) 738-1999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95453 | Other | AETNA | |
| DP463 | Other | OXFORD |
Other names 1
- Tae Gyoun Rho
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121763 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528105236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9511 101 AVE",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "11416",
"telephone_number": "718-738-1999",
"fax_number": "718-925-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13678 39 AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11354",
"telephone_number": "718-539-6600",
"fax_number": "718-939-4929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHO",
"first_name": "TAE",
"middle_name": "GYOUN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "121763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "95453",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "DP463",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAE",
"last_name": "RHO",
"middle_name": "GYOUN",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.