NPIMap

Organization Active NPI

42ND Street Physical Medicine & Rehabilitaion,P.C.

  • Rehabilitation Practitioner
  • New York, NY
National Provider Identifier
1609906114
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
203547 Issued in NY
Legal business name
42ND STREET PHYSICAL MEDICINE & REHABILITAION,P.C.
Practice address
120 E 42ND St
5TH Floor
New York, NY 10017-5678
Phone
(212) 370-5551
Fax
(212) 370-5559
NPI assigned
Mar 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Koffler, M.D.NPI 1467557264
Title
President
Phone
(212) 370-5551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

120 E 42ND St
5TH Floor
New York, NY 10017-5678

Mailing address

120 E 42ND St
5TH Floor
New York, NY 10017-5678
Phone (212) 370-5551

National Provider Directory

National Provider Directory

Locations

120 E 42nd St
Fl 5
New York, NY 10017
Phone (212) 370-5551

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609906114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 42ND ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175678",
            "telephone_number": "212-370-5551",
            "fax_number": "212-370-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 42ND ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175678",
            "telephone_number": "212-370-5551",
            "fax_number": "212-370-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "42ND STREET PHYSICAL MEDICINE & REHABILITAION,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOFFLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-370-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.