Healthcare Provider Details

I. General information

NPI: 1730592908
Provider Name (Legal Business Name): STEPHANIE M KOCHAV MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE M MELLER MD

II. Dates (important events)

Enumeration Date: 06/05/2014
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 E RIDGEWOOD AVE STE 720
PARAMUS NJ
07652-3917
US

IV. Provider business mailing address

140 E RIDGEWOOD AVE STE 720
PARAMUS NJ
07652-3917
US

V. Phone/Fax

Practice location:
  • Phone: 201-432-7837
  • Fax:
Mailing address:
  • Phone: 201-432-7837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number289208
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number25MA11695400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: