Integrative Medical Wellness PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

203547 Issued in NY

Legal business name

INTEGRATIVE MEDICAL WELLNESS PC

Practice address

99 Business Park Dr
Armonk, NY 10504-1720

Phone

(917) 903-4531

NPI assigned

Nov 15, 2011

Last updated

Nov 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Carl Koffler, M.D.NPI 1467557264

Title

Principal

Phone

(917) 903-4531

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Carl Koffler, M.D.

  • Rehabilitation Practitioner
  • New York, NY
  • NPI 1467557264
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1174800478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WOODMILL RD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105141128",
            "telephone_number": "917-903-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BUSINESS PARK DR",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105041720",
            "telephone_number": "917-903-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "KOFFLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "917-903-4531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "203547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyanka Gupta
• Joel R Harris, DDS
• Wendy Anne Harris, M.D.
• Amy T Hua
• Integrated Services NP in Psychiatry PLLC
• Daniel Harold Jacobs, PT, DPT
• Irma Brigitte Jansen, LCSW
• Herbert Ivan Jernow, M.D.
• K Pharmacy, LLC
• Melissa Sue Kamen, D.D.S

• Physical Medicine & Rehabilitation Physician in Armonk, NY
• Providers in Armonk, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.