Provider Demographics
NPI:1598765844
Name:OCKEN, STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:
Last Name:OCKEN
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 1:115 VAN CLEEF DR
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-3748
Mailing Address - Country:US
Mailing Address - Phone:908-400-9805
Mailing Address - Fax:908-923-4092
Practice Address - Street 1:115 VAN CLEEF DR
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889-3748
Practice Address - Country:US
Practice Address - Phone:908-400-9805
Practice Address - Fax:908-923-4092
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA042293207RC0000X
NJ25MA04229300207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5069700Medicaid
NJ5069700Medicaid
NJOC541957Medicare ID - Type Unspecified