Individual provider Active NPI

Lesley Rabach

  • Facial Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1780845545
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
277117-1 Issued in NY
Practice address
33 5TH Ave Apt 1B
LM Medical Nyc
New York, NY 10003-4377
Phone
(212) 777-2272
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 277117-1 NY Primary

Addresses

Primary practice location

33 5TH Ave Apt 1B
LM Medical Nyc
New York, NY 10003-4377

Mailing address

33 5TH Ave Apt 1B
LM Medical Nyc
New York, NY 10003-4377

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
I20160804001196 NY Order and Referring Only - OtolaryngologyPractitioner - Otolaryngology 7719128172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277117-1NYMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LM Medical PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lrabach1171766@nychhc.direct-ci.com
  • Direct secure messaging: lrabach@directaddress.net
  • Direct secure messaging: lrabach67623@northwell.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1780845545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 5TH AVE APT 1B",
            "address_2": "LM MEDICAL NYC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 5TH AVE APT 1B",
            "address_2": "LM MEDICAL NYC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034377",
            "telephone_number": "212-777-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABACH",
        "first_name": "LESLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NY",
            "license": "277117-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.