NPIMap

Organization Active NPI

Herald Square Medical Wellness PC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1952961179
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
HERALD SQUARE MEDICAL WELLNESS PC
Practice address
45 W 34TH St RM 1201
New York, NY 10001-3124
Phone
(646) 454-8264
Fax
(855) 312-6352
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Dr. Richard Koffler, MDNPI 1467557264
Title
President
Phone
(646) 454-8264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

45 W 34TH St RM 1201
New York, NY 10001-3124

Mailing address

45 W 34TH St RM 1201
New York, NY 10001-3124
Phone (646) 454-8264

National Provider Directory

National Provider Directory

Locations

45 W 34th St
Rm 1201
New York, NY 10001
Phone (646) 454-8264

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1952961179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W 34TH ST RM 1201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013124",
            "telephone_number": "646-454-8264",
            "fax_number": "855-312-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 34TH ST RM 1201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013124",
            "telephone_number": "646-454-8264",
            "fax_number": "855-312-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERALD SQUARE MEDICAL WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "KOFFLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-454-8264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.