Integrative Medical Solutions, PC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

043130 Issued in CT

Legal business name

INTEGRATIVE MEDICAL SOLUTIONS, PC

Practice address

999 Summer St
Suite 205
Stamford, CT 06905-5546

Phone

(203) 614-8600

Fax

(203) 614-8598

NPI assigned

Nov 15, 2015

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.

Title

President

Phone

(917) 903-4531

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447545600000",
    "number": "1578937579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SUMMER ST",
            "address_2": "SUITE 205",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055546",
            "telephone_number": "203-614-8600",
            "fax_number": "203-614-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SUMMER ST",
            "address_2": "SUITE 205",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055546",
            "telephone_number": "203-614-8600",
            "fax_number": "203-614-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL SOLUTIONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-15",
        "last_updated": "2015-11-15",
        "status": "A",
        "authorized_official_last_name": "KOFFLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-903-4531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CT",
            "license": "043130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2015; 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.