Jeffrey P Kochan, MD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

MD057322L Issued in PA

Practice address

3401 N Broad St
1St FL Park Avenue Pavilion
Philadelphia, PA 19140-5103

Phone

(215) 707-7237

Fax

(215) 707-9389

NPI assigned

Oct 13, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Temple University of the Commonwealth System of Higher Education

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Marlton, NJ
  • NPI 1932197563
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1396733226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827783",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191827783",
            "telephone_number": "215-707-3911",
            "fax_number": "215-707-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "address_2": "1ST FL PARK AVENUE PAVILION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-7237",
            "fax_number": "215-707-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHAN",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PA",
            "license": "MD057322L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015696320002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Kocerha, LMT
• Hope A Koch, MD
• Rachel Koch, CRNP
• Sara Koch, DPT
• Savannah Dean Koch, MD
• Kirpal Singh Kochar, MD
• Jeffrey S Koche, DMD
• Kristen Kochenour, R.D.
• Amrita Kochhar, MD
• Stephanie Kochis, PA-C

• Neuroradiology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Neuroradiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.