1184799397 NPI number — DR. RICHARD RHO M.D.

Table of content: DR. RICHARD RHO M.D. (NPI 1184799397)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184799397 NPI number — DR. RICHARD RHO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RHO
Provider First Name:
RICHARD
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184799397
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/02/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
162 E 78TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10075-0406
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-439-0008
Provider Business Mailing Address Fax Number:
212-439-1800

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
162 E 78TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10075-0406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-439-0008
Provider Business Practice Location Address Fax Number:
212-439-1800
Provider Enumeration Date:
11/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  196703 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1C2249 . This is a "FIRST OPTION" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 3C0702 . This is a "HEALTHNET PHS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 6268043006 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: RR01713810 . This is a "EMPIRE BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P00107288 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P392377 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 010196703NY01 . This is a "ANTHEM" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1418245 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 169541 . This is a "ELDERPLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 293360 . This is a "CCN COM CARE NET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 359618100 . This is a "OWCP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 5639113 . This is a "AETNA US HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01721984 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 21148586588 . This is a "BEECH STREET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 9511326 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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