DR. SERGEY KOYFMAN (NPI# 1114067501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114067501 |
| Entity Type | Individual |
| Full Name | DR. SERGEY KOYFMAN |
| Credential | D. O. |
| Practice Address |
75 Crystal Run Rd Building B, Suite 220 Middletown NY 10941-7000 |
| Mailing Address |
660 White Plains Rd Fl 4 Tarrytown NY 10591-5139 |
| Practice Telephone | 8454676998 |
| Practice Fax Number | 8456920675 |
| Mailing Telephone | 9149842546 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
244144 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE INDIVIDUAL | 97F18EA041 | 01 |
| NY | MEDICARE - GROUP NUMBER | WEA041 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 Executive Dr Fl 3, New Windsor, NY 125535506 | 8455620760 |
| Street Address |
75 CRYSTAL RUN RD BUILDING B, SUITE 220 |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110895 | Bradley D Wiener | Orthopaedic Surgery | 75 Crystal Run Rd, Suite 206, Middletown, NY 10941-7000 | 2005-08-02 |
| 1992336960 | Kristin N Koch | Specialist | 75 Crystal Run Rd, Middletown, NY 10941-7000 | 2020-01-29 |
| 1316584766 | Maria Jaffari | Occupational Therapist | 75 Crystal Run Rd, Middletown, NY 10941-7000 | 2019-12-04 |
| 1508401811 | Brenda Hope Kirschenbaum-gallardo | Specialist | 75 Crystal Run Rd, Middletown, NY 10941-7000 | 2019-11-11 |
| 1366091837 | Laura Ritchings | Occupational Therapy Assistant | 75 Crystal Run Rd, Middletown, NY 10941-7000 | 2019-09-08 |
| 1841847431 | Darlene Waddell | Specialist | 75 Crystal Run Rd, Middletown, NY 10941-7000 | 2019-08-20 |
| 1073078002 | Debra Wilson | Specialist | 75 Crystal Run Rd, Middletown, NY 10941-7000 | 2019-02-04 |
| 1790143402 | Hudson Valley Pediatric Dental, Pllc | Dentist | 75 Crystal Run Rd, Suite 235, Middletown, NY 10941-7000 | 2016-02-09 |
| 1902147150 | Benjamin Gordon Schultz | Audiologist | 75 Crystal Run Rd, Suite 220, Middletown, NY 10941-7000 | 2013-03-13 |
| 1700125838 | Regional Orthopaedics & Pain Management,pllc | Physical Medicine & Rehabilitation | 75 Crystal Run Rd, Suite 206, Middletown, NY 10941-7000 | 2013-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366471989 | Eugene David Herrmann | Otolaryngology | 1055 Summitt Sq, Middletown, OH 45042-3464 | 2006-07-03 |
| 1407320872 | Msk Surgery Nj | Otolaryngology | 480 Red Hill Rd, Middletown, NJ 07748-3052 | 2019-01-18 |
| 1205816170 | Phillip Langston Massengill | Otolaryngology | 75 Crystal Run Rd, Building B, Suite 220, Middletown, NY 10941-7000 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245524370 | Jason Brian Wasserman | Otolaryngology | 210 - 33 26th Ave, Ground Level, Bayside, NY 11360-1949 | 2011-06-06 |
| 1841591765 | Jack Martin Shapiro | Otolaryngology | 147 Bacon Rd, Old Westbury, NY 11568 | 2010-11-09 |
| 1831341643 | Krishnakumar Thankappan | Otolaryngology | Dept of Head and Neck Roswell Park Cancer, Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2008-10-13 |
| 1235292855 | George J Braun | Otolaryngology | 38 E 38th St, New York, NY 10016-2505 | 2006-12-18 |
| 1811942220 | Oleh Slupchynskyj | Otolaryngology | 44 E 65th St, 1a, New York, NY 10021-7022 | 2006-05-23 |
| 1346629110 | Steven Andrew Gordon | Otolaryngology | 550 First Ave, Nyu Langone Medical Center, New York, NY 10016 | 2015-05-26 |
| 1043698608 | Nyc Metro Ent PC | Otolaryngology | 6273 Woodhaven Blvd, Rego Park, NY 11374-2832 | 2015-05-14 |
| 1396163747 | Ashley Paige O'connell Ferster | Otolaryngology | 2365 S Clinton Ave Ste 200, Rochester, NY 14618-2663 | 2014-04-02 |
| 1275824856 | Eric William Cerrati | Otolaryngology | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2011-04-29 |
| 1184858458 | Paul Raymond Young | Otolaryngology | 4955 N Bailey Ave, Suite 202, Amherst, NY 14226-1206 | 2009-05-14 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
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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.