Sander Koyfman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

228129 Issued in NY

Practice address

1 New York PLZ
New York, NY 10004-1901

Phone

(917) 582-2455

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

State University of New York Downstate Medical Center, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Athenapsych LLCGroup PAC ID 0446648893, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Athenapsych LLC

  • Psychiatry Physician
  • Bronx, NY
  • NPI 1679244768
  Medicare reassignment Care Compare group NPD
• Athenapsych LLC

  • Case Management Agency
  • New York, NY
  • NPI 1295625788
  NPD (past)
• Jewish Board of Family and Children'S Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn, NY
  • NPI 1760173579
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1407974751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NEW YORK PLZ",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041901",
            "telephone_number": "917-582-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NEW YORK PLZ",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041901",
            "telephone_number": "917-582-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOYFMAN",
        "first_name": "SANDER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "228129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Kowiak, NP
• Christine Ina Kownatzki, DDS, MS
• Lakshmi Sirisha Kowtha, MD
• Sangita H Koya, DDS
• Noriko Koyanagi, N.P.
• Rebecca Koza, PHARMD, RPH
• Olga Kozachenko, N.P.
• Caitlin Kozak
• Jessica Horton Kozak, PHD, BCBA-D
• Kamila Edyta Kozak, LMHC

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.