Active NPIIndividual provider

Kevin J Mccoach, MD FACC

Internal Medicine, Cardiovascular Disease in Montclair, New Jersey

NPI Number1366444002
Practice location
62 S Fullerton Ave, Montclair, NJ 07042-2676
Fax
—
Last updated
June 25, 2020

Kevin J Mccoach is an Internal Medicine, Cardiovascular Disease based in Montclair, NJ. Kevin J Mccoach practices in Montclair, NJ and has the professional credentials of MD FACC. The NPI Number for Kevin J Mccoach is 1366444002 and holds a License No. 103702 (NJ). The current practice location address for Kevin J Mccoach is 62 S Fullerton Ave, Montclair, NJ 07042-2676 and can be reached out via phone at 973-746-8585.

Provider Profile Details

NPI Number
1366444002
Provider Name
Kevin J Mccoach
Credential
MD FACC
Provider Entity Type
Individual
Gender
Male
Address
62 S Fullerton Ave, Montclair, NJ 07042-2676
Phone Number
973-746-8585
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
No
Provider Enumeration Date
August 12, 2005
Last Update Date
June 25, 2020
Certification Date
June 25, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 S Fullerton Ave
Montclair, NJ 07042-2676
Zip
07042-2676
Phone Number
973-746-8585
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104
City
Berkeley Heights
State
NJ
Zip
07922-2104
Phone Number
908-273-4300

License Information

License Number (1)
103702
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
103702
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kevin J Mccoach, MD FACC?

The NPI number of Kevin J Mccoach, MD FACC is 1366444002. It was assigned on August 12, 2005 and is currently active in the NPPES registry.

What is the specialty of Kevin J Mccoach, MD FACC?

Kevin J Mccoach, MD FACC is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in NJ under license number 103702.

Where does Kevin J Mccoach, MD FACC practice?

The practice location is 62 S Fullerton Ave, Montclair, NJ 07042-2676. The office can be reached at 973-746-8585 (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 1366444002 directly on the NPPES registry website.

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