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Deactivated NPI 1104122761 Deactivated / Inactive NPI Male Practitioner

Dr. Paul Joseph Libassi , MD

Surgery • Clarence, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Libassi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2011
NPI Deactivation Date March 13, 2019
Total Practice Duration ~8 Years of Practice (2011 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Libassi, MD was a registered Surgery practicing in Clarence, NY. Throughout an active medical career spanning 8 years, Dr. Libassi provided care at the practice location at 4990 PINELEDGE DR W until profile deactivation on 2019-03-13.

Practice Location & Contact Primary Location

Practice Address

4990 Pineledge Dr W

Clarence, NY 140311540

Telephone 7167598744

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Clarence, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Clarence, NY (2269 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 082382

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 13, 2019

Record deactivated on March 13, 2019

NPI Profile Active January 31, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 31, 2011

Registered at 4990 PINELEDGE DR W, CLARENCE, NY 140311540 (Tel: 7167598744)

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Updated Business Mailing Address January 31, 2011

Registered at 4990 PINELEDGE DRIVE WEST, CLARENCE, NY 14031 (Tel: 7167598744)

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Provider Name / Credentials Updated January 31, 2011

Recorded as PAUL LIBASSI, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2011

Surgery (License #082382 in NY)

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Initial NPI Registration & Enumeration January 31, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104122761
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2011
Last Update: January 31, 2011
Deactivation Date: March 13, 2019

Mailing Address

4990 Pineledge Drive West

Clarence, NY 14031

Phone: 7167598744

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.