Organization Active NPI

Richard a Koff MD PC

  • Family Medicine Physician
  • Richboro, PA
National Provider Identifier
1508923186
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD040042L Issued in PA
Legal business name
RICHARD A KOFF MD PC
Practice address
130 Almshouse Rd
Suite 600
Richboro, PA 18954
Phone
(215) 357-9330
Fax
(215) 357-4096
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Dr. Richard A Koff, MD
Title
Pres
Phone
(215) 357-9330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD040042L PA Primary

Addresses

Primary practice location

130 Almshouse Rd
Suite 600
Richboro, PA 18954

Mailing address

130 Almshouse Rd
Suite 600
Richboro, PA 18954
Phone (215) 357-9330

Other identifiers 2

IdentifierTypeStateIssuer
000734999 IBSOtherPABLUE SHIELD
477183 BSOtherPABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

15200 Bustleton Ave
Unit C
Philadelphia, PA 19116
Phone (215) 464-6383

11596 Roosevelt Blvd
Philadelphia, PA 19116
Phone (215) 464-6389

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1508923186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ALMSHOUSE RD",
            "address_2": "SUITE 600",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "18954",
            "telephone_number": "215-357-9330",
            "fax_number": "215-357-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ALMSHOUSE RD",
            "address_2": "SUITE 600",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "18954",
            "telephone_number": "215-357-9330",
            "fax_number": "215-357-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A KOFF MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "KOFF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "215-357-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD040042L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000734999 IBS",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "477183 BS",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.