Apollo Medical Diagnostics

Key facts

NPI

1093409609

Entity type

Organization (NPI type 2)

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X

Legal business name

APOLLO MEDICAL DIAGNOSTICS

Practice address

44 Bethpage Rd Unit 3
Hicksville, NY 11801-1538

Phone

(516) 744-6933

Fax

(877) 309-0329

NPI assigned

Jun 6, 2023

Organization subpart

No

Authorized official

Name

Dr. Richard C Koffler, MD NPI 1467557264

Title

Owner

Phone

(516) 744-6933

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Carl Koffler, M.D. Rehabilitation Practitioner · New York, NY · NPI 1467557264
  NPD Authorized official

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 6, 2023.

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1093409609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BETHPAGE RD UNIT 3",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011538",
            "telephone_number": "516-744-6933",
            "fax_number": "877-309-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BETHPAGE RD UNIT 3",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011538",
            "telephone_number": "516-744-6933",
            "fax_number": "877-309-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO MEDICAL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "KOFFLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-744-6933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

• Shailaja Antharam, MD
• Christina Antoine
• Anugu Pharmacy Inc.
• Ravi Anugu, B PHARMACY
• Ifeanyi O Anyene
• Emily Appel
• Appletree ABA LLC
• Appletree Licensed Behavioral Analyst PLLC
• Applied Behavior Analysis Long Island
• Arbital Vision Care

All providers in Hicksville, NY · Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York