Individual provider Active NPI

Steven Mark Kofsky, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1780629014
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024663-1 Issued in NY
Practice address
1 University PLZ
Hs204
Brooklyn, NY 11201-5301
Phone
(718) 780-4531
Fax
(718) 780-4524
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 024663-1 NY Primary

Addresses

Primary practice location

1 University PLZ
Hs204
Brooklyn, NY 11201-5301

Mailing address

1 University PLZ
Hs204
Brooklyn, NY 11201-5301
Phone (718) 780-4522

Other identifiers 2

IdentifierTypeStateIssuer
N46882OtherNYHEALTH NET
1779725OtherNYUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317001351 NY Practitioner - Physical Therapist in Private Practice 9739079351 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024663-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
H&D Physical Therapy & Occupational Therapy PLLC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Sarah Whiteside Physical Therapy PLLC Physical Therapist CurrentSince Sep 16, 2021 Accepting new patients
H&D Dynamic Physical & Occupational Therapy, PLLC Physical Therapist CurrentSince Apr 16, 2023 Accepting new patients
Long Island University Center for Physical Rehabilitation Past Accepting new patients

Locations

146 5th Ave
Brooklyn, NY 11217
Phone (718) 866-0172

1502 8th Ave
Brooklyn, NY 11215
Phone (718) 768-0002

12 E 46th St
New York, NY 10017

815 2nd Ave
Rm 701
New York, NY 10017
Phone (646) 656-0156

330 W 58th St
Ste 203
New York, NY 10019
Phone (212) 499-0713

62 E 88th St
Lowr
New York, NY 10128
Phone (212) 369-9200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1780629014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ",
            "address_2": "HS204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015301",
            "telephone_number": "718-780-4522",
            "fax_number": "718-780-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ",
            "address_2": "HS204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015301",
            "telephone_number": "718-780-4531",
            "fax_number": "718-780-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFSKY",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024663-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "N46882",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1779725",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.