Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Koch

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972998417

Brian Koch is an Emergency Medicine in Glen Ridge, New Jersey. Qualified in 2015, 11 years ago. Practices with Montclair Emergency Physicians LLC, an 18-clinician group and accepts Medicare assignment. Licensed in California and New Jersey.

Years since qualifying
11
Licensed in
CA, NJ
In the registry since
2015
Specialties on file
3

Practice location Address checks out

1 Bay St
Glen Ridge, NJ 07028-1505
Phone: (925) 595-1994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MA10240700 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence A149062 (CA)

Record details

NPI number1972998417
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2015
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022
Mailing address306 Hudson St Apt 1, Hoboken, NJ 07030-5849

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Montclair Emergency Physicians Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glen Ridge