Active NPI
Alec John Koffer, MD
- Emergency Medicine Physician
- Boston, MA
National Provider Identifier
1942730007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 271298
- Practice address
- 1 Deaconess Rd BLDG 2ND
Boston, MA 02215-5321 - Phone
- (617) 754-2339
- Fax
- (617) 754-2350
- NPI assigned
- Jun 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 271298 | MA | Primary |
Addresses
Primary practice location
1 Deaconess Rd BLDG 2ND
Boston, MA 02215-5321
Mailing address
131 Park Dr Apt 4
Boston, MA 02215-5111
Phone (610) 247-1056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271298 | MA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1942730007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 PARK DR APT 4",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155111",
"telephone_number": "610-247-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DEACONESS RD BLDG 2ND",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155321",
"telephone_number": "617-754-2339",
"fax_number": "617-754-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOFFER",
"first_name": "ALEC",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "271298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.