Individual provider Active NPI

Robert K Koch, M.D.

  • Obstetrics & Gynecology Physician
  • Livingston, NJ
National Provider Identifier
1477691293
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA55408 Issued in NJ
Practice address
316 Eisenhower Pkwy
Suite 202
Livingston, NJ 07039-1718
Phone
(973) 716-9600
Fax
(973) 716-9650
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA55408 NJ Primary

Addresses

Primary practice location

316 Eisenhower Pkwy
Suite 202
Livingston, NJ 07039-1718

Mailing address

316 Eisenhower Pkwy
Suite 202
Livingston, NJ 07039-1718
Phone (973) 716-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000173 NJ Practitioner - Obstetrics/Gynecology 1850321498 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA55408NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Oct 28, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 28, 2023 Accepting new patients
NJ Premier Women Health LLC Obstetrics & Gynecology CurrentSince Sep 26, 2025 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

1300 Main Ave
Ste 3C
Clifton, NJ 07011
Phone (973) 772-8878

716 Broad St
Ste 2A
Clifton, NJ 07013
Phone (973) 221-3122

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

1901 E Linden Ave
Unit 4
Linden, NJ 07036
Phone (908) 474-1004

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

324 South Ave E
Westfield, NJ 07090
Phone (908) 232-2727

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477691293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 EISENHOWER PKWY",
            "address_2": "SUITE 202",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391718",
            "telephone_number": "973-716-9600",
            "fax_number": "973-716-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 EISENHOWER PKWY",
            "address_2": "SUITE 202",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391718",
            "telephone_number": "973-716-9600",
            "fax_number": "973-716-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "ROBERT",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA55408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.