Healthcare Provider Details

I. General information

NPI: 1558978577
Provider Name (Legal Business Name): METABOLIC CARE ASSOCIATES P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 MALAPARDIS RD STE 202
CEDAR KNOLLS NJ
07927-1121
US

IV. Provider business mailing address

210 MALAPARDIS RD STE 202
CEDAR KNOLLS NJ
07927-1121
US

V. Phone/Fax

Practice location:
  • Phone: 973-240-5000
  • Fax: 973-240-5000
Mailing address:
  • Phone: 973-240-5000
  • Fax: 973-954-2528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. KENNETH JACK STORCH
Title or Position: OWNER
Credential: MD
Phone: 973-240-5000