=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669197059
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MR. JOSEPH MICHAEL OCHMAN JR.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/07/2022
-----------------------------------------------------
Last Update Date | 10/07/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 251 PRINCETON HIGHTSTOWN RD
-----------------------------------------------------
City | EAST WINDSOR
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08520-1422
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 844-546-4644
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 56 EUSTON RD S
-----------------------------------------------------
City | MARLTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08053-3901
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-291-1654
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP1600X
-----------------------------------------------------
Taxonomy Name | Pastoral Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------