NPIMap

Individual provider Active NPI

Todd S. Koppel, MD

  • Pain Medicine (Anesthesiology) Physician
  • Clifton, NJ
National Provider Identifier
1932109170
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
65665 Issued in NJ
Practice address
1033 Clifton Ave Ste 209
Clifton, NJ 07013-3525
Phone
(973) 473-5752
Fax
(973) 473-2459
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 201176 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X 65665 NJ Primary

Addresses

Primary practice location

1033 Clifton Ave Ste 209
Clifton, NJ 07013-3525

Mailing address

80 Riverside Blvd Apt 11L
New York, NY 10069-0312
Phone (973) 473-5752

Other identifiers 2

IdentifierTypeStateIssuer
01744398MedicaidNY
7378408MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101007000487 NJ Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 1951293513 Reassigns benefits to 1 organization
I20150127001753 NY Practitioner - Interventional Pain Management 1951293513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
JS Weill Medical College, Cornell University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Garden State Pain Management, PAGroup PAC ID 7810076247, 2 clinicians

Practice addresses (Care Compare)

1033 Clifton Ave
Suite 209
Clifton, NJ 07013-3525
Phone (973) 473-5752

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65665NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Sports & Pain Medicine, LLC Pain Medicine Current Accepting new patients
Maximum Wellness Rehabilitation Center LLC PastSince Jun 13, 2024 Accepting new patients

Locations

721 Clifton Ave
Ste 2D
Clifton, NJ 07013
Phone (917) 797-9523

118 N Bedford Rd
Ste 200
Mount Kisco, NY 10549
Phone (800) 362-6220

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1932109170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 RIVERSIDE BLVD APT 11L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100690312",
            "telephone_number": "973-473-5752",
            "fax_number": "973-473-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE STE 209",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133525",
            "telephone_number": "973-473-5752",
            "fax_number": "973-473-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPEL",
        "first_name": "TODD",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "201176",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "65665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01744398",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7378408",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.