Individual provider Active NPI

Luz Viviana Koyfman

  • Case Manager/Care Coordinator
  • Long Island City, NY
National Provider Identifier
1487196549
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3612 36TH Ave
Long Island City, NY 11106-1334
Phone
(718) 819-8623
Fax
(347) 836-8305
NPI assigned
Nov 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

3612 36TH Ave
Long Island City, NY 11106-1334

Mailing address

244 Schenck Ave
Great Neck, NY 11021-3930
Phone (917) 963-0467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1487196549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 SCHENCK AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213930",
            "telephone_number": "917-963-0467",
            "fax_number": "347-836-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 36TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111061334",
            "telephone_number": "718-819-8623",
            "fax_number": "347-836-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOYFMAN",
        "first_name": "LUZ",
        "middle_name": "VIVIANA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.