Provider Demographics
NPI:1356454813
Name:KUCHERA, JAMES JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:JOSEPH
Last Name:KUCHERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1368
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07962-1368
Mailing Address - Country:US
Mailing Address - Phone:973-605-5090
Mailing Address - Fax:973-605-1705
Practice Address - Street 1:160 E HANOVER AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-2000
Practice Address - Country:US
Practice Address - Phone:973-605-5090
Practice Address - Fax:973-605-1705
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03837700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
078806C6JMedicare ID - Type Unspecified
C60391Medicare UPIN