Individual provider Active NPI

Susie Rhee, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Mineola, NY
National Provider Identifier
1992967681
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
298049 Issued in NY
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

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
298049NYMDPlastic and Reconstructive Surgery Physician

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.