Active NPI
Joel S Ross, MD
- Geriatric Medicine (Internal Medicine) Physician
- Long Branch, NJ
National Provider Identifier
1306982392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MA47821
- Practice address
- 80 Pavilion Avenue
Long Branch, NJ 07740 - Phone
- (732) 571-1535
- Fax
- (732) 571-5115
- NPI assigned
- Jan 29, 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MA47821 | NJ | Primary |
Addresses
Primary practice location
80 Pavilion Avenue
Long Branch, NJ 07740
Mailing address
4 Industrial Way W
Eatontown, NJ 07724-4238
Phone (732) 263-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0904503 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA47821 | NJ | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visiting Nurse Association of Central Jersey, Inc. | Current | Accepting new patients | |
| Visiting Nurse Association of Central Jersey, Inc. | Current | Accepting new patients |
Locations
23 Main St
#D1
Holmdel, NJ 07733
Phone (732) 224-6914
3600 State Route 66
Fl 4
Tinton Falls, NJ 07753
Phone (732) 241-4194
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Holmdel, NJ
- NPI 1336195791
-
- Home Health Agency
- Holmdel, NJ
- NPI 1144275892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1306982392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 INDUSTRIAL WAY W",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077244238",
"telephone_number": "732-263-0101",
"fax_number": "732-263-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 PAVILION AVENUE",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "07740",
"telephone_number": "732-571-1535",
"fax_number": "732-571-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "JOEL",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NJ",
"license": "MA47821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0904503",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.