Active NPI
Susie Rhee, M.D.
- Plastic and Reconstructive Surgery Physician
- Mineola, NY
National Provider Identifier
1992967681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 298049
- Practice address
- 190 E Jericho Tpke
Suite 202
Mineola, NY 11501-2054 - Phone
- (516) 714-5430
- Fax
- (516) 517-0303
- NPI assigned
- Jun 25, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 298049 | NY | Primary |
Addresses
Primary practice location
190 E Jericho Tpke
Suite 202
Mineola, NY 11501-2054
Mailing address
190 E Jericho Tpke
Suite 202
Mineola, NY 11501-2054
Phone (516) 714-5430
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 298049 | NY | MD | Plastic and Reconstructive Surgery Physician |
Interoperability endpoints
- srhee68133@northwell.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1992967681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E JERICHO TPKE",
"address_2": "SUITE 202",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012054",
"telephone_number": "516-714-5430",
"fax_number": "516-517-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 E JERICHO TPKE",
"address_2": "SUITE 202",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012054",
"telephone_number": "516-714-5430",
"fax_number": "516-517-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEE",
"first_name": "SUSIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NY",
"license": "298049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.