Organization Active NPI

NSS Dermatology PLLC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1700051158
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
211528 Issued in NY
Legal business name
NSS DERMATOLOGY PLLC
Practice address
150 W 55TH St
#GF
New York, NY 10019-5305
Phone
(212) 991-6490
Fax
(646) 349-2493
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Libby Rhee
Title
Medical Director
Phone
(212) 433-4569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 211528 NY Primary

Addresses

Primary practice location

150 W 55TH St
#GF
New York, NY 10019-5305

Mailing address

150 W 55TH St FRNT 1G
New York, NY 10019-5586
Phone (212) 991-6490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200925000713 NY Part B Supplier - Clinic/Group Practice 6204905516 Receives reassigned benefits from 5 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1700051158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 55TH ST FRNT 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195586",
            "telephone_number": "212-991-6490",
            "fax_number": "646-349-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 55TH ST",
            "address_2": "#GF",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195305",
            "telephone_number": "212-991-6490",
            "fax_number": "646-349-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSS DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "RHEE",
        "authorized_official_first_name": "LIBBY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-433-4569"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "211528",
            "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 Oct 1, 2020; 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.