DAVID R. MCCOMB, DO, LLC


Address: 239 Taunton Blvd, A-2, Medford, NJ 08055-3471
Phone: 6099535517

DAVID R. MCCOMB, DO, LLC (NPI# 1881882082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881882082
Entity Type Organization
Organization Name DAVID R. MCCOMB, DO, LLC
Practice Address 239 Taunton Blvd
A-2
Medford
NJ 08055-3471
Mailing Address Po Box 445
Medford
NJ 08055-0445
Practice Telephone 6099535517
Practice Fax Number 6099531135
Mailing Telephone 6099535517
Mailing Fax Number 6099531135
Enumeration Date 2007-10-12
Last Update Date 2017-02-06
Authorized Official Name DAVID MCCOMB (MANAGER)
Authorized Official Telephone 6099535517
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0805X Psychiatry & Neurology
Specialization: Geriatric Psychiatry
MB69772 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0002232 05

Office Location

Street Address 239 TAUNTON BLVD
A-2
City MEDFORD
State NJ
Zip Code 08055-3471

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447513106 John J Wilkins,d.o.,p.a. Psychiatry & Neurology 239 Taunton Blvd, A-2, Medford, NJ 08055-3471 2012-06-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215406459 Natalia Eltabaa Nurse Practitioner 143b Atsion Rd, Medford, NJ 08055 2018-11-16
1922574326 Emily G Wilkins Psychiatry & Neurology 239 Taunton, A-2, Medford, NJ 08055 2018-10-23
1508348863 Gerald D Mingin Jr. Psychologist 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 2018-09-04
1316465750 Gabriella Marie Francis Specialist/Technologist 133 Apache Trail, Medford Lakes, NJ 08055 2017-09-06
1265968572 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 609 Eugenia, Medford, NJ 08055 2017-05-05
1326574690 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1503 Cedar Dr, Medford, NJ 08055 2017-05-05
1780110007 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1610 Cedar Dr, Medford, NJ 08055 2017-05-05
1902332216 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1909 Cedar Dr, Medford, NJ 08055 2017-05-05
1083140396 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 503 Eugenia Dr, Medford, NJ 08055 2017-05-05
1457887762 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 905 Eugenia Dr, Medford, NJ 08055 2017-05-05
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Taxonomy Information

Taxonomy Code 2084P0805X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Geriatric Psychiatry

Taxonomy Definition

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417921925 David S Harnett Psychiatry & Neurology 170 Governors Ave, 1st Floor, Medford, MA 02155-1643 2006-02-14
1508847823 Lakshmi Mudunuri Psychiatry & Neurology 170 Governors Ave, Medford, MA 02155-1643 2005-11-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699298687 Nj Tms Institute LLC Psychiatry & Neurology 575 Route 28 Ste 2108, Raritan, NJ 08869-1354 2017-07-21
1063811156 Bergen Geri-psych Institute Psychiatry & Neurology 20 Julia Ct, Township of Washington, NJ 07676-5108 2014-08-14
1679914386 Christ L Zois Psychiatry & Neurology 712 Morven Ter, Sea Girt, NJ 08750-3205 2013-07-10
1922377258 Pooja Tandon Psychiatry & Neurology 20 Hospital Dr Ste 12, Toms River, NJ 08755-6434 2011-12-15
1083946966 Martin Freimer M.d., PC Psychiatry & Neurology 254b Mountain Avenue, Suite 306, Hackettstown, NJ 07840 2010-02-03
1083872154 Hanny S Mabrouk Psychiatry & Neurology 671 Hoes Ln W Rm C-205, Piscataway, NJ 08854-8021 2008-05-27
1679623797 Steven Samuels Psychiatry & Neurology 350 Engle Street, 4 East, C/o Dept of Psychiatry, Englewood Hosp & Medical Ctr, Englewood, NJ 07631 2007-01-11
1912079070 Robert Michael Greenberg Psychiatry & Neurology 535 Morris Ave, Springfield, NJ 07081-1038 2006-11-14
1750464491 Shailaja K. Shah Psychiatry & Neurology 407 Omni Dr, Hillsborough, NJ 08844-4527 2006-10-24
1598876369 Vanajakshi Paturu Psychiatry & Neurology 15-01 Broadway Ste 10b, Fair Lawn, NJ 07410-6006 2006-08-31
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Competitor

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City MEDFORD
Zip Code 08055

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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