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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MB69772 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 0002232 | 05 |
Street Address |
239 TAUNTON BLVD A-2 |
City | MEDFORD |
State | NJ |
Zip Code | 08055-3471 |
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 |
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 |
Find all providers in zip 08055 |
Taxonomy Code | 2084P0805X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Geriatric Psychiatry |
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] |
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 |
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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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.