42ND STREET PHYSICAL MEDICINE & REHABILITAION,P.C. (NPI# 1609906114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609906114 |
| Entity Type | Organization |
| Organization Name | 42ND STREET PHYSICAL MEDICINE & REHABILITAION,P.C. |
| Practice Address |
120 E 42nd St 5th Floor New York NY 10017-5678 |
| Practice Telephone | 2123705551 |
| Practice Fax Number | 2123705559 |
| Mailing Telephone | 2123705551 |
| Mailing Fax Number | 2123705559 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD KOFFLER (PRESIDENT) |
| Authorized Official Telephone | 2123705551 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 203547 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
120 E 42ND ST 5TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10017-5678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609806215 | Jason Matthew Feinstein | Chiropractor | 120 E 42nd St, 5th Floor, New York, NY 10017-5678 | 2006-07-03 |
| 1104236926 | Yashodhara Jadhav | Physical Therapist | 120 E 42nd St, 5th Floor, New York, NY 10017-5667 | 2014-05-01 |
| 1184927915 | Louis Edward Ottino | Chiropractor | 120 E 42nd St, 5th Floor, New York, NY 10017-5667 | 2010-12-16 |
| 1679735583 | Shringar Chopra | Dentist | 120 E 42nd St, 5th Floor, New York, NY 10017-5678 | 2008-07-01 |
| 1164681771 | Mark S Nadolne | Dentist | 120 E 42nd St, 5th Floor, New York, NY 10017-5678 | 2008-06-09 |
| 1750489563 | 42nd Street Dental Associates, LLP | Dentist | 120 E 42nd St, Fifth Floor, New York, NY 10017-5678 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700424702 | Amanda Arielle Grannum | Social Worker | 227 E 41st Street, New York, NY 10017 | 2019-12-20 |
| 1205399748 | Jasmine Marie Williams | Social Worker | Comprehensive Therapeutic Services, 450 Lexington Ave, Fourth Floor, New York, NY 10017 | 2019-04-11 |
| 1093208415 | Kaylin Salubro | Nurse Practitioner | 18 E 41st St Fl 12, New York, NY 10017 | 2018-06-11 |
| 1932698792 | Bryan Cordes | Social Worker | 295 Madison Avenue, Suite 707, New York, NY 10017 | 2018-05-08 |
| 1376048173 | Matthew Bernstein, M.d. Pllc | Psychiatry & Neurology | 370 Lexington Avenue, Suite 1001, New York, NY 10017 | 2018-03-26 |
| 1285137430 | Midtown East Podiatry and Foot Surgery L.L.C. | Podiatrist | 230 E 48th St., #1b, New York, NY 10017 | 2018-03-14 |
| 1831692136 | Olga S Pankiv | Nurse Practitioner | 545 5th Avenue Suite 817, 545 5th Avenue Suite 817, New York, NY 10017 | 2018-03-13 |
| 1023523198 | Randa Jaafar Md,pc | Pain Medicine | 340 East 49th St., Ground Floor, New York, NY 10017 | 2017-12-11 |
| 1962912154 | Yonatan Moshe Sobin | Psychologist | 370 Lexington Ave Rm 1000, New York, NY 10017 | 2017-10-03 |
| 1558880344 | Jendayi Polite | Counselor | 100 Park Ave Fl 16, New York, NY 10017 | 2017-09-13 |
| Find all providers in zip 10017 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699296632 | A1 Medical Center Inc | Rehabilitation Practitioner | 535 Fifth Ave, 4 Floor, New York, NY 10017 | 2017-06-29 |
| 1891053336 | Faculty Practice Associates Mount Sinai School of Medicine | Rehabilitation Practitioner | 5 E 98th St Box 1240b- 6th Floor, New York, NY 10029-6501 | 2012-05-02 |
| 1467557264 | Richard Carl Koffler | Rehabilitation Practitioner | 120 E 42nd St Fl 5, New York, NY 10017-5667 | 2006-09-14 |
| 1386677508 | Sutton Holistic LLC | Rehabilitation Practitioner | 329 E 52nd St Apt A, New York, NY 10022-6330 | 2006-07-09 |
| 1124055033 | Nymhc Fpp Rehab Medicine | Rehabilitation Practitioner | 1901 1st Ave Suite 5 South 2, Metropolitan Hospital Fpp, New York, NY 10029-0000 | 2006-06-27 |
| 1407825516 | Wayne Gordon | Rehabilitation Practitioner | 5 E. 98th Street, 6th Floor Box 1240 B, New York, NY 10029 | 2006-03-14 |
| 1326016254 | Richard A Frieden | Rehabilitation Practitioner | 5 E 98th St Fl 6, Box 1240b, New York, NY 10029-6501 | 2006-03-08 |
| 1659349520 | Parag Sheth | Rehabilitation Practitioner | 5 E. 98th Street 6th Floor, Box 1240b, New York, NY 10029 | 2006-03-08 |
| 1194700989 | Lijun Song | Rehabilitation Practitioner | 39 East 20th Street, New York, NY 10003 | 2005-12-14 |
| 1992227748 | William Street Physical Medicine & Rehabilitation | Rehabilitation Practitioner | 100 William St Rm 1215, New York, NY 10038-5036 | 2017-07-13 |
| Find all providers in NEW YORK | ||||
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| 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.