Active NPI
David R McComb, D.O.
- Geriatric Psychiatry Physician
- Merchantville, NJ
National Provider Identifier
1326018433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- MB69772
- Practice address
- 109 W Maple Ave
Merchantville, NJ 08109-2038 - Phone
- (609) 953-5517
- Fax
- (609) 953-1135
- NPI assigned
- Jan 23, 2006
- 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 Psychiatry Physician | 2084P0805X | MB69772 | NJ | Primary |
Addresses
Primary practice location
109 W Maple Ave
Merchantville, NJ 08109-2038
Mailing address
PO Box 445
Medford, NJ 08055-0445
Phone (609) 953-5517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002232 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 31, 2025 through Dec 31, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Rowan University School of Osteopathic Medicine, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 445
Medford, NJ 08055-0445
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB69772 | NJ | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John J Wilkins,D.O.,P.a. | Past | Accepting new patients | |
| Center for Family Guidance, PC | Geriatric Psychiatry | Past | Accepting new patients |
| John J. Colyar, Jr., PH.D. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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 Psychiatry Physician
- Marlton, NJ
- NPI 1508803388
-
- Psychiatry Physician
- Medford, NJ
- NPI 1447513106
-
- Clinical Psychologist
- Merchantville, NJ
- NPI 1952593212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1326018433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 445",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080550445",
"telephone_number": "609-953-5517",
"fax_number": "609-953-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W MAPLE AVE",
"city": "MERCHANTVILLE",
"state": "NJ",
"postal_code": "081092038",
"telephone_number": "609-953-5517",
"fax_number": "609-953-1135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOMB",
"first_name": "DAVID",
"middle_name": "R",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NJ",
"license": "MB69772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0002232",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merchantville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.