RICHARD WALLACE KOFFLER (NPI# 1154494102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154494102 |
| Entity Type | Individual |
| Full Name | RICHARD WALLACE KOFFLER |
| Credential | CASAC |
| Practice Address |
8268 164th St Jamaica NY 11432-1121 |
| Mailing Address |
7901 Broadway Managed Care, D1-01 Elmhurst NY 11373-1329 |
| Practice Telephone | 7188833225 |
| Practice Fax Number | 7188836193 |
| Mailing Telephone | 7183341921 |
| Mailing Fax Number | 7183343432 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
005475 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00246075 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467557264 | Richard Carl Koffler | Rehabilitation Practitioner | 120 E 42nd St Fl 5, New York, NY 10017-5667 | 2006-09-14 |
| Street Address |
8268 164TH ST |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921814 | Richard Arena | Pharmacist | 8268 164th St, Jamaica, NY 11432-1140 | 2005-06-09 |
| 1598366379 | Yasir Ahmed | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-11-06 |
| 1881294551 | Toor P Noori | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-10-30 |
| 1588264592 | Joshua Beckhusen | Pharmacist | 8268 164th St, Jamaica, NY 11432-1104 | 2020-10-28 |
| 1235744376 | Tanvir Rahman | Pharmacist | 8268 164th St, Jamaica, NY 11432-1121 | 2020-09-15 |
| 1033724869 | Danielle Taylor Kleinhans | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1104 | 2020-09-09 |
| 1295346179 | Amanpreet Kaur | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-08-13 |
| 1093325490 | Jodiane Ashpole | Nurse Practitioner | 8268 164th St, Jamaica, NY 11432-1121 | 2020-07-31 |
| 1497372551 | Jinjin Lin | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-07-06 |
| 1245856269 | Kiranjot Kaur | Student in an Organized Health Care Education/Training Program | 8268 164th St, Jamaica, NY 11432-1121 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598329732 | Debra Lynn West | Counselor | 16318 Jamaica Ave Ste 5, Jamaica, NY 11432-4901 | 2019-04-23 |
| 1265096408 | Tiffany Monique Hines | Counselor | 16318 Jamaica Ave Ste 501, Jamaica, NY 11432-4919 | 2019-04-23 |
| 1609368158 | Angela I Frazier | Counselor | 168-20 Liberty Avenue #2, Jamaica, NY 11433 | 2018-05-31 |
| 1912426594 | Curtis Evans | Counselor | 17520 Hillside Ave Ste 2, Jamaica, NY 11432-5732 | 2017-09-14 |
| 1851811509 | Donna Pickersgill-brown | Counselor | 17020 130th Ave Apt 6a, Jamaica, NY 11434-3226 | 2017-06-23 |
| 1003336074 | Marie Elizabeth Manley | Counselor | 16204 Tuskegee Airmen Way, Jamaica, NY 11433-1608 | 2017-06-21 |
| 1689123796 | Colin Kowlessar | Counselor | 17732 129th Ave, Jamaica, NY 11434-5822 | 2016-09-30 |
| 1356714141 | Mervin Rhymes | Counselor | 11630 Sutphin Blvd., Jamaica, NY 11434 | 2015-11-03 |
| 1720332067 | Shola Thompson | Counselor | 10704 Guy R Brewer Blvd, Suite 7c, Jamaica, NY 11433-2380 | 2012-11-08 |
| 1780937821 | Keith Michael Johnson | Counselor | 16812 127th Ave, Apt # 7e, Jamaica, NY 11434-3152 | 2012-10-25 |
| Find all providers in JAMAICA | ||||
Please comment or provide details below to improve the information on RICHARD WALLACE KOFFLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.