Healthcare Provider Details

I. General information

NPI: 1790028926
Provider Name (Legal Business Name): MEIR OLCHA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2013
Last Update Date: 02/19/2025
Certification Date: 02/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 SYLVAN AVE STE 12
ENGLEWOOD CLIFFS NJ
07632-2722
US

IV. Provider business mailing address

385 SYLVAN AVE STE 12
ENGLEWOOD CLIFFS NJ
07632-2722
US

V. Phone/Fax

Practice location:
  • Phone: 201-775-0003
  • Fax: 732-633-2220
Mailing address:
  • Phone: 201-775-0003
  • Fax: 732-633-2220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number282456
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA09501900
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number282456
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number25MA09501900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: