Jeremiah Koczman
Nurse Practitioner, Acute Care in Keyport, New Jersey
1356248074- Practice location
- 848 S Concourse, Keyport, NJ 07735-5338
- Phone
- 732-939-7334
- Fax
- —
- Last updated
- October 26, 2026
Jeremiah Koczman is a Nurse Practitioner, Acute Care based in Keyport, NJ. Jeremiah Koczman practices in Keyport, NJ. The NPI Number for Jeremiah Koczman is 1356248074 and holds a License No. 8781237 (ID). The current practice location address for Jeremiah Koczman is 848 S Concourse, Keyport, NJ 07735-5338 and can be reached out via phone at 732-939-7334.
Provider Profile Details
- NPI Number
- 1356248074
- Provider Name
- Jeremiah Koczman
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 848 S Concourse, Keyport, NJ 07735-5338
- Phone Number
- 732-939-7334
- Primary Taxonomy
- Nurse Practitioner, Acute Care · 363LA2100X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 26, 2026
- Last Update Date
- October 26, 2026
- Certification Date
- October 25, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 848 S Concourse
Keyport, NJ 07735-5338 - City
- Keyport
- State
- New Jersey
- Zip
- 07735-5338
- Phone Number
- 732-939-7334
Provider Business Mailing Address Details
- Address
- 848 S Concourse
Keyport, NJ 07735-5338 - City
- Keyport
- State
- NJ
- Zip
- 07735-5338
- Phone Number
- 732-939-7334
License Information
- License Number
- 8781237
- License State
- ID
- Taxonomy
- Nurse Practitioner, Acute Care · 363LA2100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jeremiah Koczman?
The NPI number of Jeremiah Koczman is 1356248074. It was assigned on October 26, 2026 and is currently active in the NPPES registry.
What is the specialty of Jeremiah Koczman?
Jeremiah Koczman is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in ID under license number 8781237.
Where does Jeremiah Koczman practice?
The practice location is 848 S Concourse, Keyport, NJ 07735-5338. The office can be reached at 732-939-7334 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356248074 directly on the NPPES registry website.