NPIMap

Individual provider Active NPI

Richard Carl Koffler, M.D.

  • Rehabilitation Practitioner
  • New York, NY
National Provider Identifier
1467557264
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
203547 Issued in NY
Practice address
120 E 42ND St FL 5
New York, NY 10017-5667
Phone
(917) 903-4531
Fax
(800) 560-0299
NPI assigned
Sep 14, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X 203547 NY Primary

Addresses

Primary practice location

120 E 42ND St FL 5
New York, NY 10017-5667

Mailing address

120 E 42ND St
New York, NY 10017-5667
Phone (917) 903-4531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
203547NYMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Medical Diagnostics Current Accepting new patients
Herald Square Medical Wellness PC Current Accepting new patients
Danbury Physical Medicine and Rehabilitation PC PastSince Sep 1, 2009 Accepting new patients
42ND Street Physical Medicine & Rehabilitaion,P.C. Rehabilitation Practitioner Past Accepting new patients
North Street Physical Medicine and Rehabilitation, PC PastSince Jul 1, 2009 Accepting new patients

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467557264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 42ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175667",
            "telephone_number": "917-903-4531",
            "fax_number": "800-560-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 42ND ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175667",
            "telephone_number": "917-903-4531",
            "fax_number": "800-560-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFFLER",
        "first_name": "RICHARD",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NY",
            "license": "203547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.