Individual provider · Type 1 NPI
Jeremiah Koczman
Acute Care Nurse Practitioner · Keyport, NJ
NPI number
1356248074
Active
Practice location
848 S Concourse
Keyport, NJ 07735-5338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 8781237 (ID) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1356248074
Jeremiah Koczman's National Provider Identifier is 1356248074, issued on Oct 26, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Keyport, NJ. The record was last updated on Oct 26, 2026.