Dr. Simon Koyfman, Physician, P.L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

204787 Issued in NY

Legal business name

DR. SIMON KOYFMAN, PHYSICIAN, P.L.L.C.

Practice address

170 Avenue S
Brooklyn, NY 11223-2633

Phone

(718) 382-8282

Fax

(718) 946-7964

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Simon Koyfman, M.D., D.O.

Title

Physician

Phone

(718) 382-8282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1851594147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232633",
            "telephone_number": "718-382-8282",
            "fax_number": "718-946-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232633",
            "telephone_number": "718-382-8282",
            "fax_number": "718-946-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SIMON KOYFMAN, PHYSICIAN, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "KOYFMAN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-382-8282",
        "authorized_official_credential": "M.D., D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.