Active NPI
David Ross, M.D.
- Specialist
- Voorhees, NJ
National Provider Identifier
1033113998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA02910500
- Practice address
- 705 White Horse Rd
Ste D105
Voorhees, NJ 08043-2468 - Phone
- (856) 435-1777
- Fax
- (856) 435-7291
- NPI assigned
- Jun 9, 2005
- Last updated
- Nov 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA02910500 | NJ | Primary |
Addresses
Primary practice location
705 White Horse Rd
Ste D105
Voorhees, NJ 08043-2468
Mailing address
705 White Horse Rd
Ste D105
Voorhees, NJ 08043-2468
Phone (856) 435-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3420809 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1033113998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 WHITE HORSE RD",
"address_2": "STE D105",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432468",
"telephone_number": "856-435-1777",
"fax_number": "856-435-7291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 WHITE HORSE RD",
"address_2": "STE D105",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432468",
"telephone_number": "856-435-1777",
"fax_number": "856-435-7291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA02910500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3420809",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.