Active NPIIndividual provider

Evan O Koch, RDN

Dietitian, Registered in East Orange, New Jersey

NPI Number1760269369
Practice location
385 Tremont Ave, East Orange, NJ 07018-1023
Fax
—
Last updated
September 8, 2023

Evan O Koch is a Dietitian, Registered based in East Orange, NJ. Evan O Koch practices in East Orange, NJ and has the professional credentials of RDN. The NPI Number for Evan O Koch is 1760269369 and holds a License No. 86062448 (FL). The current practice location address for Evan O Koch is 385 Tremont Ave, East Orange, NJ 07018-1023 and can be reached out via phone at 973-676-1000.

Provider Profile Details

NPI Number
1760269369
Provider Name
Evan O Koch
Credential
RDN
Provider Entity Type
Individual
Gender
Male
Address
385 Tremont Ave, East Orange, NJ 07018-1023
Phone Number
973-676-1000
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
September 8, 2023
Last Update Date
September 8, 2023
Certification Date
September 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
385 Tremont Ave
East Orange, NJ 07018-1023
Zip
07018-1023
Phone Number
973-676-1000
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
819 Grove St
Bridgeport, PA 19405-1309
City
Bridgeport
State
PA
Zip
19405-1309
Phone Number
561-901-1760

License Information

License Number
86062448
License State
FL
Taxonomy
Dietitian, Registered · 133V00000X · 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 Evan O Koch, RDN?

The NPI number of Evan O Koch, RDN is 1760269369. It was assigned on September 8, 2023 and is currently active in the NPPES registry.

What is the specialty of Evan O Koch, RDN?

Evan O Koch, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in FL under license number 86062448.

Where does Evan O Koch, RDN practice?

The practice location is 385 Tremont Ave, East Orange, NJ 07018-1023. The office can be reached at 973-676-1000 (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 1760269369 directly on the NPPES registry website.

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