Richard Allen Koff, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD040042L Issued in PA

Practice address

2840 Pine Rd Unit D1
Huntingdon Valley, PA 19006

Phone

(215) 464-6383

Fax

(215) 464-2663

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696

  Family Medicine, PA

  Medicare reassignment NPD
• Advocare , LLC

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1720192677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 PINE RD UNIT D1",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064242",
            "telephone_number": "215-464-6383",
            "fax_number": "215-464-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 PINE RD UNIT D1",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "19006",
            "telephone_number": "215-464-6383",
            "fax_number": "215-464-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15200 Bustleton Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19116",
            "country_code": "US",
            "telephone_number": "215-464-6383",
            "fax_number": "215-464-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOFF",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD040042L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000734999 BS",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "477183 BS",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah A Kiser, LPC
• Channarayapatna V. Kishan, MD
• Heidi L Kleiman, LBS
• Leonid Klichinsky, DPT
• William Koehler, MD
• Ruvim Kolesnikovich
• Christine Konow
• Kosher Foods & More LLC
• Catherine M Kovatch, PH.D.
• Aleksandr Kozma

• Family Medicine Physician in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.