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

Kevin J McCoach, MDFACC

Individual provider Internal Medicine Physician · NPI 1366444002

Kevin J McCoach, MDFACC is a Cardiovascular Disease (Cardiology) in Montclair, New Jersey. Qualified in 1982, 44 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
44
Licensed in
NJ
In the registry since
2005
Specialties on file
2

Practice location Address checks out

62 S Fullerton Ave
Montclair, NJ 07042-2676
Phone: (973) 746-8585
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 103702 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 103702 (NJ)

Record details

NPI number1366444002
Entity typeIndividual (Type 1)
GenderMale
Credentials MDFACC
Sole proprietorNo
NPI enumeratedAugust 12, 2005
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Montclair